Organization Active NPI

Chosen Pediatric Therapy and Learning Center

  • Pediatrics Physician
  • Canton, GA
National Provider Identifier
1336925387
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
CHOSEN PEDIATRIC THERAPY AND LEARNING CENTER
Practice address
249 Cedarhurst Dr
Canton, GA 30115-6445
Phone
(404) 512-6559
NPI assigned
Sep 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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

Authorized official

Name
Nickole O Saladin, MS, CCC-SLP
Title
Owner
Phone
(404) 512-6559

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

249 Cedarhurst Dr
Canton, GA 30115-6445

Mailing address

249 Cedarhurst Dr
Canton, GA 30115-6445
Phone (404) 512-6559

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1693958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728518400000",
    "number": "1336925387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 CEDARHURST DR",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301156445",
            "telephone_number": "404-512-6559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 CEDARHURST DR",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301156445",
            "telephone_number": "404-512-6559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOSEN PEDIATRIC THERAPY AND LEARNING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-06",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A",
        "authorized_official_last_name": "SALADIN",
        "authorized_official_first_name": "NICKOLE",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-512-6559",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "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 Oct 10, 2024; 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.