Organization Active NPI

North Georgia Hand Therapy, LLC

  • Hand Occupational Therapist
  • Cumming, GA
National Provider Identifier
1326396136
Registry record updated Apr 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
OT004063 Issued in GA
Legal business name
NORTH GEORGIA HAND THERAPY, LLC
Practice address
765 Peachtree Pkwy
Suite 2
Cumming, GA 30041-9522
Phone
(678) 780-6941
NPI assigned
Aug 28, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2015

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

Authorized official

Name
Mrs. Amy Catherine Wallace, OT, CHT
Title
Director, Provider
Phone
(678) 780-6941

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225XH1200X OT004063 GA Primary

Addresses

Primary practice location

765 Peachtree Pkwy
Suite 2
Cumming, GA 30041-9522

Mailing address

2920 Ronald Reagan Blvd
Suite 110
Cumming, GA 30041-6206
Phone (770) 889-0885

National Provider Directory

National Provider Directory

Locations

765 Peachtree Pkwy
Ste 2
Cumming, GA 30041
Phone (678) 780-6941

2920 Ronald Reagan Blvd
Ste 110
Cumming, GA 30041
Phone (770) 889-0885

110 Allen St
Ste 110
Cumming, GA 30040

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1346112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430092800000",
    "number": "1326396136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2920 RONALD REAGAN BLVD",
            "address_2": "SUITE 110",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300416206",
            "telephone_number": "770-889-0885",
            "fax_number": "770-880-0886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 PEACHTREE PKWY",
            "address_2": "SUITE 2",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300419522",
            "telephone_number": "678-780-6941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH GEORGIA HAND THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-28",
        "last_updated": "2015-04-27",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "CATHERINE",
        "authorized_official_title_or_position": "DIRECTOR, PROVIDER",
        "authorized_official_telephone_number": "678-780-6941",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OT, CHT"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Hand",
            "state": "GA",
            "license": "OT004063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.