Active NPI
Therapy Solutions of Georgia, Inc.
- Speech-Language Pathologist
- Dacula, GA
National Provider Identifier
1295727857
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- THERAPY SOLUTIONS OF GEORGIA, INC.
- Practice address
- 3615 Braselton Hwy
Suite 103
Dacula, GA 30019-5907 - Phone
- (678) 377-9634
- Fax
- (678) 377-9609
- NPI assigned
- Aug 19, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christopher Michael Ball
- Title
- Executive Director
- Phone
- (678) 377-9634
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | |||
| Occupational Therapist | 225X00000X | |||
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
3615 Braselton Hwy
Suite 103
Dacula, GA 30019-5907
Mailing address
3615 Braselton Hwy
Suite 103
Dacula, GA 30019-5907
Phone (678) 377-9634
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 527079371A | Medicaid | GA | |
| 7054378 | Other | GA | AETNA |
| 10033351 | Medicaid | GA | |
| 10033352 | Medicaid | GA | |
| 51101039-001 | Other | GA | BLUE CROSS & BLUE SHIELD |
National Provider Directory
National Provider Directory- Tax ID family
- Therapy Solutions of Georgia Inc
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Occupational Therapist
- Dacula, GA
- NPI 1144657768
-
- Speech-Language Pathologist
- Watkinsville, GA
- NPI 1689006835
-
- Speech-Language Pathologist
- Dacula, GA
- NPI 1912339425
Locations
3615 Braselton Hwy
Ste 103
Dacula, GA 30019
Phone (678) 377-9634
Ownership & related parties
Subparts reporting this organization as parent 3
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Occupational Therapist
- Dacula, GA
- NPI 1144657768
-
- Speech-Language Pathologist
- Watkinsville, GA
- NPI 1689006835
-
- Speech-Language Pathologist
- Dacula, GA
- NPI 1912339425
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124409600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1222128000000",
"number": "1295727857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3615 BRASELTON HWY",
"address_2": "SUITE 103",
"city": "DACULA",
"state": "GA",
"postal_code": "300195907",
"telephone_number": "678-377-9634",
"fax_number": "678-377-9609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3615 BRASELTON HWY",
"address_2": "SUITE 103",
"city": "DACULA",
"state": "GA",
"postal_code": "300195907",
"telephone_number": "678-377-9634",
"fax_number": "678-377-9609"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THERAPY SOLUTIONS OF GEORGIA, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-19",
"last_updated": "2008-09-23",
"status": "A",
"authorized_official_last_name": "BALL",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_middle_name": "MICHAEL",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "678-377-9634"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "527079371A",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7054378",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10033351",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10033352",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS & BLUE SHIELD",
"identifier": "51101039-001",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dacula, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.