Georgia Pediatric Therapy LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

GEORGIA PEDIATRIC THERAPY LLC

Practice address

5067 Post Rd Ste 203-201
Cumming, GA 30040-5438

Phone

(404) 709-0840

Fax

(404) 998-1909

NPI assigned

Oct 5, 2023

Organization subpart

No

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

Authorized official

Name

Angelita Palmer

Title

Contact

Phone

(404) 709-0840

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1696464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743465600000",
    "number": "1649050667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5067 POST RD STE 203-201",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300405438",
            "telephone_number": "404-709-0840",
            "fax_number": "678-254-1778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5067 POST RD STE 203-201",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300405438",
            "telephone_number": "404-709-0840",
            "fax_number": "404-998-1909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA PEDIATRIC THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-05",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A",
        "authorized_official_last_name": "PALMER",
        "authorized_official_first_name": "ANGELITA",
        "authorized_official_title_or_position": "CONTACT",
        "authorized_official_telephone_number": "404-709-0840"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; 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.