Savannah Children's Therapy Center, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT006834 Issued in GA

Legal business name

SAVANNAH CHILDREN'S THERAPY CENTER, LLC

Doing business as

Children's Therapy Center

Practice address

11550 Abercorn St
Suite 15
Savannah, GA 31419-1902

Phone

(912) 927-5096

Fax

(912) 927-5097

NPI assigned

May 17, 2007

Organization subpart

No

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

Authorized official

Name

Linda C Fruin, OTR

Title

Cfo

Phone

(912) 927-5096

Specialties & licenses 5

Addresses

Other names 1

• Children's Therapy Center Doing business as

Locations

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196640000000",
    "number": "1417165259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11550 ABERCORN ST",
            "address_2": "SUITE 15",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314191902",
            "telephone_number": "912-927-5096",
            "fax_number": "912-927-5097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11550 ABERCORN ST",
            "address_2": "SUITE 15",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314191902",
            "telephone_number": "912-927-5096",
            "fax_number": "912-927-5097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAVANNAH CHILDREN'S THERAPY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2007-12-03",
        "status": "A",
        "authorized_official_last_name": "FRUIN",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "912-927-5096",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT006834",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT001992",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP006630",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP005804",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP006487",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Children's Therapy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Physical Therapist in Savannah, GA
• Providers in Savannah, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2007; 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.