Active NPI
Praise Pediatric Therapy LLC
- Occupational Therapist
- Cedartown, GA
National Provider Identifier
1700694569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Legal business name
- PRAISE PEDIATRIC THERAPY LLC
- Practice address
- 126 E Fairmount Ave Ste a
Cedartown, GA 30125-2706 - Phone
- (706) 204-9112
- Fax
- (855) 587-8844
- NPI assigned
- Dec 26, 2024
- 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
- Whitley Hatch, OTR/L
- Title
- Owner
- Phone
- (678) 988-1399
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | Primary |
Addresses
Primary practice location
126 E Fairmount Ave Ste a
Cedartown, GA 30125-2706
Mailing address
126 E Fairmount Ave Ste a
Cedartown, GA 30125-2706
Phone (706) 204-9112
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003321257A | Medicaid | GA |
Other names 1
- Fingerprints Therapy Services Inc
National Provider Directory
National Provider DirectoryLocations
126 E Fairmount Ave
Ste A
Cedartown, GA 30125
Phone (706) 204-9112
504 N Main St
Cedartown, GA 30125
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Occupational Therapist
- Cedartown, GA
- NPI 1891130654
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1735171200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1780963200000",
"number": "1700694569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "126 E FAIRMOUNT AVE STE A",
"city": "CEDARTOWN",
"state": "GA",
"postal_code": "301252706",
"telephone_number": "706-204-9112",
"fax_number": "855-587-8844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "126 E FAIRMOUNT AVE STE A",
"city": "CEDARTOWN",
"state": "GA",
"postal_code": "301252706",
"telephone_number": "706-204-9112",
"fax_number": "855-587-8844"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRAISE PEDIATRIC THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-12-26",
"last_updated": "2026-06-09",
"certification_date": "2026-06-09",
"status": "A",
"authorized_official_last_name": "HATCH",
"authorized_official_first_name": "WHITLEY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "678-988-1399",
"authorized_official_credential": "OTR/L"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003321257A",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Fingerprints Therapy Services Inc",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Cedartown, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.