NPIMap

Organization Active NPI

Csra Therapy Services Inc

  • Pediatric Occupational Therapist
  • Hephzibah, GA
National Provider Identifier
1679515985
Registry record updated May 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
Legal business name
CSRA THERAPY SERVICES INC
Practice address
2485 Ga Highway 88
Hephzibah, GA 30815-4691
Phone
(706) 592-5565
Fax
(706) 592-5565
NPI assigned
Jun 12, 2006
Last updated
May 24, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2010

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

Authorized official

Name
Mrs. Rachelle Clark, OTNPI 1003818279
Title
Owner
Phone
(706) 592-5565

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
Pediatric Occupational Therapist 225XP0200X Primary
Speech-Language Pathologist 235Z00000X

Addresses

Primary practice location

2485 Ga Highway 88
Hephzibah, GA 30815-4691

Mailing address

PO Box 537
Hephzibah, GA 30815-0537
Phone (706) 592-5565

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 22

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.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274659200000",
    "number": "1679515985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 537",
            "city": "HEPHZIBAH",
            "state": "GA",
            "postal_code": "308150537",
            "telephone_number": "706-592-5565",
            "fax_number": "706-592-5565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2485 GA HIGHWAY 88",
            "city": "HEPHZIBAH",
            "state": "GA",
            "postal_code": "308154691",
            "telephone_number": "706-592-5565",
            "fax_number": "706-592-5565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CSRA THERAPY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2010-05-24",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "RACHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-592-5565",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hephzibah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2010; 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.