NPIMap

Organization Active NPI

Education Playstation, Inc.

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Adairsville, GA
National Provider Identifier
1447447354
Registry record updated Feb 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
License
11-6874 Issued in GA
Legal business name
EDUCATION PLAYSTATION, INC.
Practice address
127 Summer St
Adairsville, GA 30103-2956
Phone
(770) 877-9105
Fax
(770) 877-9106
NPI assigned
Sep 25, 2007
Last updated
Feb 1, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2011

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

Authorized official

Name
Mrs. Megan Elizabeth Mingone, M.S., CCC-SLPNPI 1013114909
Title
Ceo/Owner
Phone
(770) 877-9105

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X 11-6874 GA
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X 11-6874 GA Primary

Addresses

Primary practice location

127 Summer St
Adairsville, GA 30103-2956

Mailing address

127 Summer St
Adairsville, GA 30103-2956
Phone (770) 877-9105

Other identifiers 4

IdentifierTypeStateIssuer
000708463EMedicaidGA
478159310BMedicaidGA
385626610CMedicaidGA
012454464BMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1447447354. Details of each certification follow.

  • CCN 116874 Outpatient physical therapy / speech pathology · Active · Name & address match · Details

Outpatient physical therapy / speech pathology certification: CCN 116874

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
EDUCATION PLAYSTATION, INC
Certification status
Active
Provider type (POS)
Outpatient physical therapy / speech pathology
Participating since
Feb 5, 2009
Last certification
Mar 28, 2022
Ownership / control type
Proprietary
Facility address
127 Summer Street
Adairsville, GA 30103

National Provider Directory

National Provider Directory

Locations

127 Summer St
Adairsville, GA 30103
Phone (770) 877-9105

Practitioners & affiliated clinicians

Practitioners 5

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": "1190678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296518400000",
    "number": "1447447354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 SUMMER ST",
            "city": "ADAIRSVILLE",
            "state": "GA",
            "postal_code": "301032956",
            "telephone_number": "770-877-9105",
            "fax_number": "770-877-9106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 SUMMER ST",
            "city": "ADAIRSVILLE",
            "state": "GA",
            "postal_code": "301032956",
            "telephone_number": "770-877-9105",
            "fax_number": "770-877-9106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDUCATION PLAYSTATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-25",
        "last_updated": "2011-02-01",
        "status": "A",
        "authorized_official_last_name": "MINGONE",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "770-877-9105",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "GA",
            "license": "11-6874",
            "primary": false
        },
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "GA",
            "license": "11-6874",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000708463E",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "478159310B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "385626610C",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "012454464B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Adairsville, GA

Sources for this page

Verify at the official NPI Registry.