NPIMap

Organization Active NPI

The Pediatric Therapy Clinic, Inc.

  • Early Intervention Provider Agency
  • Kennesaw, GA
National Provider Identifier
1275773152
Registry record updated Mar 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
THE PEDIATRIC THERAPY CLINIC, INC.
Practice address
5150 Stilesboro Rd NW Ste 410
Kennesaw, GA 30152-7759
Phone
(770) 218-2300
NPI assigned
Mar 4, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Donna L. Schulman, OTR/LNPI 1174763056
Title
Occupational Therapist
Phone
(770) 218-2300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

5150 Stilesboro Rd NW Ste 410
Kennesaw, GA 30152-7759

Mailing address

5150 Stilesboro Rd NW Ste 410
Kennesaw, GA 30152-7759
Phone (770) 218-2300

National Provider Directory

National Provider Directory
Tax ID family
The Pediatric Therapy Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5150 Stilesboro Rd NW
Ste 410
Kennesaw, GA 30152
Phone (770) 218-2300

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1236124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236124800000",
    "number": "1275773152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5150 STILESBORO RD NW STE 410",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301527759",
            "telephone_number": "770-218-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5150 STILESBORO RD NW STE 410",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301527759",
            "telephone_number": "770-218-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PEDIATRIC THERAPY CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-04",
        "last_updated": "2009-03-04",
        "status": "A",
        "authorized_official_last_name": "SCHULMAN",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "770-218-2300",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennesaw, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.