Athens Pediatric Therapy, Inc.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

003182 Issued in GA

Legal business name

ATHENS PEDIATRIC THERAPY, INC.

Practice address

110 Greystone Ter
Athens, GA 30606-4460

Phone

(706) 202-0458

Fax

(706) 353-1606

NPI assigned

Apr 29, 2009

Last updated

Apr 29, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Pamela G Burns, SLPNPI 1144481078

Title

Owner/Speech Therapist

Phone

(706) 202-0458

Specialties & licenses 1

Addresses

Tax ID family

Athens Pediatric Therapy Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Athens Pediatric Therapy Services, Inc

  • Speech-Language Pathologist
  • Athens, GA
  • NPI 1588937890
  NPD tax ID

Practitioners 1

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.

• Pamela Burns, M.ED CCC-SLP

  • Speech-Language Pathologist
  • Athens, GA
  • NPI 1144481078
  NPD (past) Authorized official

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

{
    "created_epoch": "1240963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240963200000",
    "number": "1497999874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 GREYSTONE TER",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306064460",
            "telephone_number": "706-202-0458",
            "fax_number": "706-353-1606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 GREYSTONE TER",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306064460",
            "telephone_number": "706-202-0458",
            "fax_number": "706-353-1606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHENS PEDIATRIC THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-29",
        "last_updated": "2009-04-29",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER/SPEECH THERAPIST",
        "authorized_official_telephone_number": "706-202-0458",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "003182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Athens Orthopedic Clinic, PA
• Athens Orthotics and Prosthetics
• Athens Pastoral Counseling Dba Samaritan Counseling Center
• Athens Pediatric Speech, LLC
• Athens Pediatric Therapy Services, Inc
• Athens Plastic Surgery Center
• Athens Podiatry, P.C.
• Athens Primary Care
• Athens Psychological Services, LLC
• Athens Pulmonary and Allergy, P.C.

• Speech-Language Pathologist in Athens, GA
• Providers in Athens, GA by specialty
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.