Organization Active NPI

Hippo Associates, LLC

  • Pediatric Physical Therapist
  • Canton, GA
National Provider Identifier
1326274663
Registry record updated Jun 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
Legal business name
HIPPO ASSOCIATES, LLC
Practice address
1055 Thomas Rd
Canton, GA 30115-6702
Phone
(678) 736-0724
NPI assigned
Jun 1, 2009
Last updated
Jun 1, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2009

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

Authorized official

Name
Renee Robertson Maddux, P.T.NPI 1063572808
Title
Member
Phone
(678) 736-0724

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
Pediatric Physical Therapist 2251P0200X NU Primary

Addresses

Primary practice location

1055 Thomas Rd
Canton, GA 30115-6702

Mailing address

325 Waverly Hall Cir
Roswell, GA 30075-2110
Phone (678) 736-0724

National Provider Directory

National Provider Directory

Locations

1055 Thomas Rd
Canton, GA 30115
Phone (678) 736-0724

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1243814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243814400000",
    "number": "1326274663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 WAVERLY HALL CIR",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300752110",
            "telephone_number": "678-736-0724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 THOMAS RD",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301156702",
            "telephone_number": "678-736-0724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIPPO ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-01",
        "last_updated": "2009-06-01",
        "status": "A",
        "authorized_official_last_name": "MADDUX",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "ROBERTSON",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "678-736-0724",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.