Organization Active NPI

Integrated Rehabilitation Specialists, Inc.

  • Speech-Language Pathologist
  • Woodstock, GA
National Provider Identifier
1659521730
Registry record updated Feb 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP005492 Issued in GA
Legal business name
INTEGRATED REHABILITATION SPECIALISTS, INC.
Practice address
503 Azalea CT
Woodstock, GA 30188-4426
Phone
(404) 838-0942
Fax
(866) 246-7358
NPI assigned
Sep 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2009

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

Authorized official

Name
Ms. Jocelyn Shelhimer, M.ED., CCC-SLP
Title
Ceo
Phone
(404) 838-0942

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X SLP005492 GA Primary

Addresses

Primary practice location

503 Azalea CT
Woodstock, GA 30188-4426

Mailing address

503 Azalea CT
Woodstock, GA 30188-4426
Phone (404) 838-0942

Other identifiers 1

IdentifierTypeStateIssuer
045348007CMedicaidGA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1222214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233705600000",
    "number": "1659521730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 AZALEA CT",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301884426",
            "telephone_number": "404-838-0942",
            "fax_number": "866-246-7358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 AZALEA CT",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301884426",
            "telephone_number": "404-838-0942",
            "fax_number": "866-246-7358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED REHABILITATION SPECIALISTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-24",
        "last_updated": "2009-02-04",
        "status": "A",
        "authorized_official_last_name": "SHELHIMER",
        "authorized_official_first_name": "JOCELYN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-838-0942",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.ED., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP005492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "045348007C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2009; 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.