Alpha Pediatric Therapy LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

ALPHA PEDIATRIC THERAPY LLC

Practice address

247 Providence Oaks Cir
Milton, GA 30009-6815

Phone

(612) 719-5318

NPI assigned

Oct 27, 2023

Organization subpart

No

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

Authorized official

Name

Rochelle Loomis, MS, CCC-SLPNPI 1417306457

Title

Direct Owner

Phone

(612) 719-5318

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rochelle Elizabeth Loomis, MS, CCC-SLP

  • Speech-Language Pathologist
  • Maple Grove, MN
  • NPI 1417306457
  NPD Authorized official

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

{
    "created_epoch": "1698364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698364800000",
    "number": "1497527907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "247 PROVIDENCE OAKS CIR",
            "city": "MILTON",
            "state": "GA",
            "postal_code": "300096815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "247 PROVIDENCE OAKS CIR",
            "city": "MILTON",
            "state": "GA",
            "postal_code": "300096815",
            "telephone_number": "612-719-5318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA PEDIATRIC THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-27",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-27",
        "status": "A",
        "authorized_official_last_name": "LOOMIS",
        "authorized_official_first_name": "ROCHELLE",
        "authorized_official_title_or_position": "DIRECT OWNER",
        "authorized_official_telephone_number": "612-719-5318",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Milton, GA
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2023; 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.