NPIMap

Organization Active NPI

Recess Pediatric Therapy

  • Pediatric Occupational Therapist
  • Mableton, GA
National Provider Identifier
1508400763
Registry record updated Oct 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
Legal business name
RECESS PEDIATRIC THERAPY
Practice address
5908 Cobblestone Creek Cir
Mableton, GA 30126-2654
Phone
(931) 241-1159
NPI assigned
Oct 31, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2019

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

Authorized official

Name
Thomas Long, OTR/LNPI 1386017986
Title
Ceo/Occupational Therapist
Phone
(931) 241-1159

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XP0200X Primary

Addresses

Primary practice location

5908 Cobblestone Creek Cir
Mableton, GA 30126-2654

Mailing address

5908 Cobblestone Creek Cir
Mableton, GA 30126-2654
Phone (931) 241-1159

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1572480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572480000000",
    "number": "1508400763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5908 COBBLESTONE CREEK CIR",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301262654",
            "telephone_number": "931-241-1159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5908 COBBLESTONE CREEK CIR",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301262654",
            "telephone_number": "931-241-1159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECESS PEDIATRIC THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-31",
        "last_updated": "2019-10-31",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "CEO/OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "931-241-1159",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mableton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2019; 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.