NPIMap

Organization Active NPI

Propel Pediatric Therapy, Inc.

  • Speech-Language Pathologist
  • Brookhaven, GA
National Provider Identifier
1508557802
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
PROPEL PEDIATRIC THERAPY, INC.
Practice address
2 Corporate Blvd NE Ste 160
Brookhaven, GA 30329-2027
Phone
(404) 228-8558
NPI assigned
May 17, 2023
Last updated
Feb 7, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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

Authorized official

Name
Cettina Chiarelli, MS CCC-SLPNPI 1083059414
Title
Co-Owner
Phone
(404) 228-8558

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
Speech-Language Pathologist 235Z00000X Primary

Addresses

Primary practice location

2 Corporate Blvd NE Ste 160
Brookhaven, GA 30329-2027

Mailing address

2 Corporate Blvd NE Ste 160
Brookhaven, GA 30329-2027
Phone (404) 228-8558

Other identifiers 1

IdentifierTypeStateIssuer
000860604DMedicaidGA

National Provider Directory

National Provider Directory
Tax ID family
Meredith White Speech Pathology Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

2 Corporate Blvd NE
Ste 160
Brookhaven, GA 30329
Phone (404) 228-8558

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1684281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707264000000",
    "number": "1508557802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CORPORATE BLVD NE STE 160",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "303292027",
            "telephone_number": "404-228-8558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CORPORATE BLVD NE STE 160",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "303292027",
            "telephone_number": "404-228-8558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROPEL PEDIATRIC THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-17",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A",
        "authorized_official_last_name": "CHIARELLI",
        "authorized_official_first_name": "CETTINA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "404-228-8558",
        "authorized_official_credential": "MS CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000860604D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookhaven, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; 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.