Organization Active NPI

Emerging Butterfly Therapy, LLC

  • Pediatric Occupational Therapist
  • Atlanta, GA
National Provider Identifier
1346080827
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
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

Updated by the provider on May 30, 2024

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

Authorized official

Name
Krystal Newkirk, OTR/LNPI 1427474311
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)CodeLicenseStatePrimary
Pediatric Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Practitioners & 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.

Verify at the official NPI Registry.