NPIMap

Organization Active NPI

Southern Therapy Services, Inc

  • Rehabilitation Clinic/Center
  • Carrollton, GA
National Provider Identifier
1487838066
Registry record updated Sep 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
SOUTHERN THERAPY SERVICES, INC
Practice address
812 S Park St
Carrollton, GA 30117-4412
Phone
(770) 834-7436
Fax
(770) 930-5954
NPI assigned
Dec 19, 2007
Last updated
Sep 18, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
SOUTHERN THERAPY SERVICES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 18, 2009

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

Authorized official

Name
Penny Kenerly, M.ED.
Title
Chief Operating Officer
Phone
(770) 832-2484

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

812 S Park St
Carrollton, GA 30117-4412

Mailing address

812 S Park St
Carrollton, GA 30117-4412
Phone (770) 834-7436

Other names 1

  • Southern Therapy Carrollton DME Other name

National Provider Directory

National Provider Directory
Tax ID family
Southern Therapy SVCS I3 organizations share this tax ID, including this one
Part of
Southern Therapy SVCS I

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1198022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253232000000",
    "number": "1487838066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 S PARK ST",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301174412",
            "telephone_number": "770-834-7436",
            "fax_number": "770-930-5954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 S PARK ST",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301174412",
            "telephone_number": "770-834-7436",
            "fax_number": "770-930-5954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN THERAPY SERVICES, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHERN THERAPY SERVICES, INC.",
        "enumeration_date": "2007-12-19",
        "last_updated": "2009-09-18",
        "status": "A",
        "authorized_official_last_name": "KENERLY",
        "authorized_official_first_name": "PENNY",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "770-832-2484",
        "authorized_official_credential": "M.ED."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Therapy Carrollton DME",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Carrollton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2009; 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.