NPIMap

Organization Active NPI

Karen S. White

Doing business as Dynamic Therapy Services

  • Occupational Therapist
  • Marietta, GA
National Provider Identifier
1386718195
Registry record updated Jul 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
002408 Issued in GA
Legal business name
KAREN S. WHITE
Doing business as
Dynamic Therapy Services
Practice address
3193 Holly Mill Run
Marietta, GA 30062-5480
Phone
(770) 653-3077
Fax
(770) 509-1321
NPI assigned
Nov 20, 2006
Last updated
Jul 28, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2008

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

Authorized official

Name
Karen White, OTR LNPI 1124192935
Title
Owner
Phone
(770) 653-3077

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
Occupational Therapist 225X00000X 002408 GA Primary

Addresses

Primary practice location

3193 Holly Mill Run
Marietta, GA 30062-5480

Mailing address

3193 Holly Mill Run
Marietta, GA 30062-5480
Phone (770) 653-3077

Other names 1

  • Dynamic Therapy Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dynamic Therapy Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217203200000",
    "number": "1386718195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3193 HOLLY MILL RUN",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300625480",
            "telephone_number": "770-653-3077",
            "fax_number": "770-509-1321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3193 HOLLY MILL RUN",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300625480",
            "telephone_number": "770-653-3077",
            "fax_number": "770-509-1321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAREN S. WHITE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2008-07-28",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-653-3077",
        "authorized_official_credential": "OTR L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "002408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dynamic Therapy Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2008; 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.