Pendley Business Ventures, Inc.

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

PT009627 Issued in GA

Legal business name

PENDLEY BUSINESS VENTURES, INC.

Doing business as

LEAP Pediatric Therapy Services

Practice address

6470 Ga Highway 400
Cumming, GA 30028-3460

Phone

(678) 888-1590

Fax

(678) 731-1590

NPI assigned

Oct 11, 2014

Organization subpart

No

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

Authorized official

Name

Julia Nicole Pendley, DPTNPI 1508180258

Title

Co-Owner

Phone

(678) 888-1590

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• LEAP Pediatric Therapy Services Doing business as

Locations

Practitioners 1

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

• Julia Nicole Pendley, DPT

  • Pediatric Physical Therapist
  • Cumming, GA
  • NPI 1508180258

  Pediatrics

  NPD (past) Authorized official

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

{
    "created_epoch": "1412985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455062400000",
    "number": "1518361120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2802",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300286510",
            "telephone_number": "678-888-1590",
            "fax_number": "678-731-1590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6470 GA HIGHWAY 400",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300283460",
            "telephone_number": "678-888-1590",
            "fax_number": "678-731-1590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENDLEY BUSINESS VENTURES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-11",
        "last_updated": "2016-02-10",
        "status": "A",
        "authorized_official_last_name": "PENDLEY",
        "authorized_official_first_name": "JULIA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "678-888-1590",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": "GA",
            "license": "PT009627",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003108614C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LEAP Pediatric Therapy Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pediatric Health Care of North Georgia, PC
• Pediatric Vision Development Center of Forsyth
• Rochelle Peet, LPC
• Gustave Joseph Peluso III, DMD
• Louisa Peluso, LCSW
• Julia Nicole Pendley, DPT
• Sara Penna, PHARMD
• Keith Bradley Pennycook, DO
• Maureen Penoyer
• Kyle B Pepple, D.C.

• Pediatric Physical Therapist in Cumming, GA
• Providers in Cumming, GA by specialty
• Pediatric Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2016; 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.