Totally Kids Therapy LLC

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

004818 Issued in GA

Legal business name

TOTALLY KIDS THERAPY LLC

Practice address

1103 Edward Dr
McDonough, GA 30255-8555

Phone

(404) 906-3575

NPI assigned

Mar 6, 2018

Organization subpart

No

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

Authorized official

Name

Janis E. Adams, P.T., D.P.T.

Title

Owner

Phone

(404) 906-3575

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1520294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520294400000",
    "number": "1386146348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 EDWARD DRIVE",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302558555",
            "telephone_number": "404-906-3575",
            "fax_number": "404-366-3357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 EDWARD DR",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302558555",
            "telephone_number": "404-906-3575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTALLY KIDS THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-06",
        "last_updated": "2018-03-06",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "JANIS",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-906-3575",
        "authorized_official_credential": "P.T., D.P.T."
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": "GA",
            "license": "004818",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003200749A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Physical Therapist in McDonough, GA
• Providers in McDonough, 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 Mar 6, 2018; 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.