Organization Active NPI

Caactus Flowers Rock Stars LLC

  • Occupational Therapist
  • Evans, GA
National Provider Identifier
1386187193
Registry record updated Nov 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
321938 Issued in GA
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, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2016

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.