Children & Adult Therapy Services

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

License

116745 Issued in GA

Legal business name

CHILDREN & ADULT THERAPY SERVICES

Practice address

226 Alcovy St
Ste G-1
Monroe, GA 30655-2183

Phone

(770) 207-9043

Fax

(770) 207-9029

NPI assigned

May 31, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ruth Ellen Roberts, SLPNPI 1790788073

Title

Owner

Phone

(770) 207-9043

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ruth Ellen Roberts, MACCCSLP

  • Speech-Language Pathologist
  • Monroe, GA
  • NPI 1790788073
  Medicare reassignment Authorized official
• David Bruce Bollinger, OTR/L

  • Occupational Therapist
  • Monroe, GA
  • NPI 1548264161
  NPD (past)
• Lisette Hernandez, SLP

  • Speech-Language Pathologist
  • Monroe, GA
  • NPI 1679697692
  NPD (past)

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295738540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 ALCOVY ST",
            "address_2": "STE G-1",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306552183",
            "telephone_number": "770-207-9043",
            "fax_number": "770-207-9029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 ALCOVY ST",
            "address_2": "STE G-1",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306552183",
            "telephone_number": "770-207-9043",
            "fax_number": "770-207-9029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN & ADULT THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "RUTH",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-207-9043",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Rehabilitation Practitioner",
            "state": "GA",
            "license": "116745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Center for Medical Resources, Inc
• Samuel Chang, M.D.
• Leyla Tasmaz Chenevey, D.C.
• Rosemary Chickos, D.O.
• Child & Family Therapy Solutions, Inc.
• Terry Supanee Chongulia, M.D.
• Shannon Christian, MD
• Chronic Disease Management of Georgia, LLC
• Circle of Care, Inc (Comfort Keepers)
• Pamela R. Clack, P.T.

• Rehabilitation Practitioner in Monroe, GA
• Providers in Monroe, GA by specialty
• Rehabilitation Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.