Organization Active NPI

Therapist Direct Incorporated

  • Speech-Language Assistant
  • Covington, GA
National Provider Identifier
1306985072
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
SLPA000040 Issued in GA
Legal business name
THERAPIST DIRECT INCORPORATED
Practice address
260 Bentley Place Way
Covington, GA 30016-1106
Phone
(404) 756-2600
Fax
(404) 756-2524
NPI assigned
Feb 6, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mrs. Sabrenia Renee Roberts, MA, CCC, SLP
Title
Speech Language Pathologist
Phone
(678) 725-4628

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X SLPA000040 GA Primary
Speech-Language Pathologist 235Z00000X SLP004287 GA

Addresses

Primary practice location

260 Bentley Place Way
Covington, GA 30016-1106

Mailing address

260 Bentley Place Way
Covington, GA 30016-1106
Phone (404) 756-2600

Other identifiers 2

IdentifierTypeStateIssuer
10046954MedicaidGA
347237MedicaidGA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1306985072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 BENTLEY PLACE WAY",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300161106",
            "telephone_number": "404-756-2600",
            "fax_number": "404-756-2524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 BENTLEY PLACE WAY",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300161106",
            "telephone_number": "404-756-2600",
            "fax_number": "404-756-2524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPIST DIRECT INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "SABRENIA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "678-725-4628",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, CCC, SLP"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "GA",
            "license": "SLPA000040",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP004287",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10046954",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "347237",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.