NPIMap

Organization Active NPI

Kidz Rock Therapy Services, LLC

  • Occupational Therapist
  • Douglasville, GA
National Provider Identifier
1457747321
Registry record updated Apr 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT003067 Issued in GA
Legal business name
KIDZ ROCK THERAPY SERVICES, LLC
Practice address
6732 West Spring Street
Douglasville, GA 30134
Phone
(404) 229-2919
Fax
(770) 672-6832
NPI assigned
Apr 8, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2015

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

Authorized official

Name
Denise Battles
Title
Occupational Therapist
Phone
(404) 229-2919

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X OT003067 GA Primary

Addresses

Primary practice location

6732 West Spring Street
Douglasville, GA 30134

Mailing address

PO Box 5548
Douglasville, GA 30154-0010
Phone (404) 229-2919

National Provider Directory

National Provider Directory

Locations

6732 Spring St
Douglasville, GA 30134
Phone (404) 934-0605

NPI Registry JSON

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

{
    "created_epoch": "1428451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428451200000",
    "number": "1457747321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5548",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301540010",
            "telephone_number": "404-229-2919",
            "fax_number": "770-672-6832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6732 WEST SPRING STREET",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "30134",
            "telephone_number": "404-229-2919",
            "fax_number": "770-672-6832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDZ ROCK THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-08",
        "last_updated": "2015-04-08",
        "status": "A",
        "authorized_official_last_name": "BATTLES",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "404-229-2919"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT003067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Douglasville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.