Organization Active NPI

Capabilities Therapy Services, LLC

  • Clinic/Center
  • Kennesaw, GA
National Provider Identifier
1619583382
Registry record updated Sep 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
CAPABILITIES THERAPY SERVICES, LLC
Practice address
1050 Shiloh Rd NW Ste 303
Kennesaw, GA 30144-7197
Phone
(678) 779-0842
Fax
(678) 623-5750
NPI assigned
Sep 18, 2020
Last updated
Sep 18, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2020

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

Authorized official

Name
Stephanie Lynn Watts, OTR/LNPI 1417095092
Title
Occupational Therapist/Owner
Phone
(678) 779-0842

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary
Physical Therapy Clinic/Center 261QP2000X

Addresses

Primary practice location

1050 Shiloh Rd NW Ste 303
Kennesaw, GA 30144-7197

Mailing address

925 Laurel Crest Dr
Woodstock, GA 30189-6897
Phone (678) 779-0842

National Provider Directory

National Provider Directory

Locations

1050 Shiloh Rd NW
Ste 303
Kennesaw, GA 30144
Phone (678) 779-0842

4286 Bells Ferry Rd NW
Ste 210
Kennesaw, GA 30144
Phone (678) 401-7401

Practitioners & affiliated clinicians

Practitioners 4

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": "1600387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600387200000",
    "number": "1619583382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 LAUREL CREST DR",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301896897",
            "telephone_number": "678-779-0842",
            "fax_number": "678-623-5750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 SHILOH RD NW STE 303",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301447197",
            "telephone_number": "678-779-0842",
            "fax_number": "678-623-5750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPABILITIES THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-18",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-18",
        "status": "A",
        "authorized_official_last_name": "WATTS",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "678-779-0842",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennesaw, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2020; 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.