NPIMap

Organization Active NPI

Let'S Talk Therapy

  • Occupational Therapist
  • Duluth, GA
National Provider Identifier
1407249055
Registry record updated Mar 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT005994 Issued in GA
Legal business name
LET'S TALK THERAPY
Practice address
4500 Satellite Blvd
Suite 2290
Duluth, GA 30096-5037
Phone
(800) 381-2195
NPI assigned
Mar 6, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2015

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

Authorized official

Name
Teddy Fayne
Title
Director of Operations
Phone
(800) 381-2195

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X OT005994 GA Primary

Addresses

Primary practice location

4500 Satellite Blvd
Suite 2290
Duluth, GA 30096-5037

Mailing address

4500 Satellite Blvd
Duluth, GA 30096-5037

Other identifiers 1

IdentifierTypeStateIssuer
OT005994OtherGAGEORGIA PROFESSIONAL LICENSING

National Provider Directory

National Provider Directory

Locations

4500 Satellite Blvd
Ste 2290
Duluth, GA 30096

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1425600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425600000000",
    "number": "1407249055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 SATELLITE BLVD",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300965037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 SATELLITE BLVD",
            "address_2": "SUITE 2290",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300965037",
            "telephone_number": "800-381-2195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LET'S TALK THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-06",
        "last_updated": "2015-03-06",
        "status": "A",
        "authorized_official_last_name": "FAYNE",
        "authorized_official_first_name": "TEDDY",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "800-381-2195"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT005994",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA PROFESSIONAL LICENSING",
            "identifier": "OT005994",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2015; 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.