Organization Active NPI

Saddle Up Therapy, LLC

  • Clinic/Center
  • Jefferson, GA
National Provider Identifier
1508607284
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
SADDLE UP THERAPY, LLC
Practice address
167 Country Rd
Jefferson, GA 30549-4306
Phone
(470) 222-6428
NPI assigned
Jun 5, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

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

Authorized official

Name
Carolyn C Robert
Title
Owner
Phone
(470) 222-6428

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary
Occupational Medicine Clinic/Center 261QX0100X

Addresses

Primary practice location

167 Country Rd
Jefferson, GA 30549-4306

Mailing address

167 Country Rd
Jefferson, GA 30549-4306
Phone (470) 222-6428

Other names 1

  • Saddle Up Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1717545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717545600000",
    "number": "1508607284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 COUNTRY RD",
            "city": "JEFFERSON",
            "state": "GA",
            "postal_code": "305494306",
            "telephone_number": "470-222-6428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 COUNTRY RD",
            "city": "JEFFERSON",
            "state": "GA",
            "postal_code": "305494306",
            "telephone_number": "470-222-6428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SADDLE UP THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-05",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A",
        "authorized_official_last_name": "ROBERT",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "470-222-6428"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saddle Up",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jefferson, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.