Active NPI
Caactus Flowers Rock Stars LLC
- Occupational Therapist
- Evans, GA
National Provider Identifier
1386187193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 321938
- Legal business name
- CAACTUS FLOWERS ROCK STARS LLC
- Practice address
- 4455 Washington Rd
Evans, GA 30809-6326 - Phone
- (706) 305-9130
- NPI assigned
- Nov 28, 2016
- Last updated
- Nov 28, 2016
- 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
- Mariah Kathleen Robbins, OTR/L
- Title
- Managing Member
- Phone
- (706) 699-5157
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 321938 | GA | Primary |
Addresses
Primary practice location
4455 Washington Rd
Evans, GA 30809-6326
Mailing address
3909 Greenbrier Rd
Thomson, GA 30824-4423
National Provider Directory
National Provider DirectoryLocations
4455 Washington Rd
Evans, GA 30809
Phone (706) 305-9130
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480291200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1480291200000",
"number": "1386187193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3909 GREENBRIER RD",
"city": "THOMSON",
"state": "GA",
"postal_code": "308244423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4455 WASHINGTON RD",
"city": "EVANS",
"state": "GA",
"postal_code": "308096326",
"telephone_number": "706-305-9130"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAACTUS FLOWERS ROCK STARS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-11-28",
"last_updated": "2016-11-28",
"status": "A",
"authorized_official_last_name": "ROBBINS",
"authorized_official_first_name": "MARIAH",
"authorized_official_middle_name": "KATHLEEN",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "706-699-5157",
"authorized_official_credential": "OTR/L"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "GA",
"license": "321938",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Evans, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.