Active NPI
Emerging Butterfly Therapy, LLC
- Pediatric Occupational Therapist
- Atlanta, GA
National Provider Identifier
1346080827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- Legal business name
- EMERGING BUTTERFLY THERAPY, LLC
- Doing business as
- Emerging Butterfly Therapy, LLC
- Practice address
- 305 Centennial Olympic Park Dr NW Unit 2508
Atlanta, GA 30313-1973 - Phone
- (229) 854-3607
- Fax
- (404) 393-8993
- NPI assigned
- May 30, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Krystal Newkirk, OTR/L
- Title
- Owner/Occupational Therapist
- Phone
- (229) 854-3607
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | Primary |
Addresses
Primary practice location
305 Centennial Olympic Park Dr NW Unit 2508
Atlanta, GA 30313-1973
Mailing address
305 Centennial Olympic Park Dr NW Unit 2508
Atlanta, GA 30313-1973
Phone (229) 854-3607
Other names 1
- Emerging Butterfly Therapy, LLC
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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": "1717027200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1717027200000",
"number": "1346080827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 CENTENNIAL OLYMPIC PARK DR NW UNIT 2508",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303131973",
"telephone_number": "229-854-3607",
"fax_number": "404-393-8993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 CENTENNIAL OLYMPIC PARK DR NW UNIT 2508",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303131973",
"telephone_number": "229-854-3607",
"fax_number": "404-393-8993"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EMERGING BUTTERFLY THERAPY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-30",
"last_updated": "2024-05-30",
"certification_date": "2024-05-30",
"status": "A",
"authorized_official_last_name": "NEWKIRK",
"authorized_official_first_name": "KRYSTAL",
"authorized_official_title_or_position": "OWNER/OCCUPATIONAL THERAPIST",
"authorized_official_telephone_number": "229-854-3607",
"authorized_official_credential": "OTR/L"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist, Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Emerging Butterfly Therapy, LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 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.