Bearden Pediatric Therapy, Inc.

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

PT003343 Issued in GA

Legal business name

BEARDEN PEDIATRIC THERAPY, INC.

Practice address

6470 Concord Rd
Cumming, GA 30040-8501

Phone

(770) 363-2020

Fax

(770) 889-7719

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Ginger Bearden, PT, PCS

Title

Pediatric Physical Therapist

Phone

(770) 363-2020

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366529331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6470 CONCORD RD",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300408501",
            "telephone_number": "770-363-2020",
            "fax_number": "770-889-7719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6470 CONCORD RD",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300408501",
            "telephone_number": "770-363-2020",
            "fax_number": "770-889-7719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEARDEN PEDIATRIC THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BEARDEN",
        "authorized_official_first_name": "GINGER",
        "authorized_official_title_or_position": "PEDIATRIC PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "770-363-2020",
        "authorized_official_credential": "PT, PCS"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": "GA",
            "license": "PT003343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "52820847002",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Priya Vamsi Bayyapureddy, M.D.
• Be Healthy Chiropractic, PC
• Scott R Beach, M.D.
• Gail Beard, CAC II, CCS
• Ravin Cato Beard, BCBA
• Alivia Conti Bearden, MS, OTR/L
• Allison Heather Bearden, LPC
• Jimmie Michelle Beasley, OTR/L
• Stacey K Beasley, PHARMD
• Heidi Beck, PT, DPT

• Pediatric Physical Therapist in Cumming, GA
• Providers in Cumming, GA by specialty
• Pediatric Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.