NPIMap

Organization Active NPI

Building Blocks Pediatric Therapy

  • Clinic/Center
  • Marietta, GA
National Provider Identifier
1407921489
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
OT002561 Issued in GA
Legal business name
BUILDING BLOCKS PEDIATRIC THERAPY
Practice address
1230 Johnson Ferry PL
I-20
Marietta, GA 30068-2048
Phone
(770) 321-6705
Fax
(770) 321-6705
NPI assigned
Nov 22, 2006
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
Marnie Danielson, OTRLNPI 1730254707
Title
Owner
Phone
(404) 202-5038

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
Clinic/Center 261Q00000X OT002561 GA Primary

Addresses

Primary practice location

1230 Johnson Ferry PL
I-20
Marietta, GA 30068-2048

Mailing address

5167 Weatherwood Trce
Marietta, GA 30068-1748
Phone (404) 202-5038

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

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": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407921489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5167 WEATHERWOOD TRCE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300681748",
            "telephone_number": "404-202-5038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 JOHNSON FERRY PL",
            "address_2": "I-20",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300682048",
            "telephone_number": "770-321-6705",
            "fax_number": "770-321-6705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUILDING BLOCKS PEDIATRIC THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DANIELSON",
        "authorized_official_first_name": "MARNIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-202-5038",
        "authorized_official_credential": "OTRL"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "GA",
            "license": "OT002561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 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.