Active NPI
Growth Rehabilitation LLC
- Speech-Language Pathologist
- Decatur, GA
National Provider Identifier
1659244135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- GROWTH REHABILITATION LLC
- Practice address
- 3449 Charlemagne Dr
Decatur, GA 30034-5317 - Phone
- (517) 927-1598
- NPI assigned
- Sep 29, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Patricia Nicole Balthazar, M.S., CCC-SLP
- Title
- Speech Language Pathologist
- Phone
- (517) 927-1598
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
3449 Charlemagne Dr
Decatur, GA 30034-5317
Mailing address
3449 Charlemagne Dr
Decatur, GA 30034-5317
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- Decatur, GA
- NPI 1831653385
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1759104000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1759104000000",
"number": "1659244135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3449 CHARLEMAGNE DR",
"city": "DECATUR",
"state": "GA",
"postal_code": "300345317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3449 CHARLEMAGNE DR",
"city": "DECATUR",
"state": "GA",
"postal_code": "300345317",
"telephone_number": "517-927-1598"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GROWTH REHABILITATION LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-09-29",
"last_updated": "2025-09-29",
"certification_date": "2025-09-29",
"status": "A",
"authorized_official_last_name": "BALTHAZAR",
"authorized_official_first_name": "PATRICIA",
"authorized_official_middle_name": "NICOLE",
"authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
"authorized_official_telephone_number": "517-927-1598",
"authorized_official_credential": "M.S., CCC-SLP"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.