Thrive Pediatric Therapy Group

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP004848 Issued in GA

Legal business name

THRIVE PEDIATRIC THERAPY GROUP

Practice address

1596 Cleveland Ave
Unit 103
East Point, GA 30344-3205

Phone

(404) 975-3080

Fax

(888) 886-0460

NPI assigned

Nov 6, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Chiquita Smith, M.A. CCC-SLP

Title

Owner/Speech Language Pathologist

Phone

(404) 867-1682

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1446768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446768000000",
    "number": "1285007625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1596 CLEVELAND AVE",
            "address_2": "UNIT 103",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303443205",
            "telephone_number": "404-975-3080",
            "fax_number": "888-886-0460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1596 CLEVELAND AVE",
            "address_2": "UNIT 103",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303443205",
            "telephone_number": "404-975-3080",
            "fax_number": "888-886-0460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVE PEDIATRIC THERAPY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-06",
        "last_updated": "2015-11-06",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CHIQUITA",
        "authorized_official_title_or_position": "OWNER/SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "404-867-1682",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.A. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP005342",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP004848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deszerae Thomas, LMT
• Sumi Romeo Thomas, MD
• Pamela Michelle Thompson, PSY.D.
• Summer Thompson, MS, CCC-SLP
• Carlton Eugene Thorne Sr., 00101781
• Mohammad O Tomeh, MD
• Natalie J Topeka, DC
• Tracy Smith Mayberry (A Plus Family Foot and Leg Care Specialists)
• Tranquility Healthcare Services, LLC
• Trans Alliance Lab Inc (wayfield pharmacy 1801)

• Speech-Language Pathologist in East Point, GA
• Providers in East Point, GA by specialty
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2015; 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.