Organization Active NPI

Lamb's Care Therapy, LLC

  • Pediatric Physical Therapist
  • Juliette, GA
National Provider Identifier
1396811188
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
002429 Issued in GA
Legal business name
LAMB'S CARE THERAPY, LLC
Practice address
295 Searcy Dr
Juliette, GA 31046-3702
Phone
(478) 747-6689
Fax
(478) 471-6261
NPI assigned
Nov 26, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Corazon B. Jackson, PT
Title
Manager
Phone
(478) 747-6689

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 002429 GA Primary

Addresses

Primary practice location

295 Searcy Dr
Juliette, GA 31046-3702

Mailing address

295 Searcy Dr
Juliette, GA 31046-3702
Phone (478) 747-6689

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1164499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396811188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 SEARCY DR",
            "city": "JULIETTE",
            "state": "GA",
            "postal_code": "310463702",
            "telephone_number": "478-747-6689",
            "fax_number": "478-471-6261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 SEARCY DR",
            "city": "JULIETTE",
            "state": "GA",
            "postal_code": "310463702",
            "telephone_number": "478-747-6689",
            "fax_number": "478-471-6261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAMB'S CARE THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "CORAZON",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "478-747-6689",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "GA",
            "license": "002429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Juliette, GA

Sources for this page

  • 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.