SP-OT on Therapy Group

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

SP-OT ON THERAPY GROUP

Doing business as

SP-OT On Therapy Group, LLC

Practice address

1726 Oakbrook Lake Dr
Norcross, GA 30093-1758

Phone

(803) 210-7235

NPI assigned

May 7, 2021

Organization subpart

No

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

Authorized official

Name

Crystal Marie Donaldson, MS, OTR/L

Title

Occupational Therapist

Phone

(803) 210-7235

Specialties & licenses 1

Addresses

Other names 1

• SP-OT On Therapy Group, LLC Doing business as

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

{
    "created_epoch": "1620345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620345600000",
    "number": "1639753486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1726 OAKBROOK LAKE DR",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300931758",
            "telephone_number": "803-210-7235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1726 OAKBROOK LAKE DR",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300931758",
            "telephone_number": "803-210-7235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SP-OT ON THERAPY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-07",
        "last_updated": "2021-05-07",
        "certification_date": "2021-05-07",
        "status": "A",
        "authorized_official_last_name": "DONALDSON",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "803-210-7235",
        "authorized_official_credential": "MS, OTR/L"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SP-OT On Therapy Group, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Southcare Spinal Rehab
• Southern Oaks Healthcare Services Inc
• Southside Medical Center, Inc.
• Sovereign Hospice Inc.
• Sozo Psychiatric Professional Services LLC
• Matthew David Spaur, D.C.
• Special Care Medical of SC Inc
• Spectrum Dental Care
• Speed Laboratory, Inc.
• Van CHI Spitalnick, PHARM.D

• Clinic/Center in Norcross, GA
• Providers in Norcross, GA by specialty
• Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2021; 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.