NPIMap

Organization Active NPI

Kidztherapy Networks Inc

  • Pediatric Occupational Therapist
  • Cumming, GA
National Provider Identifier
1700913522
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OT003813 Issued in GA
Legal business name
KIDZTHERAPY NETWORKS INC
Practice address
5975 Parkway North Blvd
Suite 300B
Cumming, GA 30040-1226
Phone
(770) 205-5551
NPI assigned
Feb 28, 2007
Last updated
Jun 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Authorized official

Name
Mr. Harry Panagopoulos
Title
Coo
Phone
(770) 205-5551

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2251P0200X
Pediatric Occupational TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225XP0200X OT003813 GA Primary
Speech-Language PathologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 235Z00000X SLP005951 GA

Addresses

Primary practice location

5975 Parkway North Blvd
Suite 300B
Cumming, GA 30040-1226

Mailing address

5975 Parkway North Blvd
Suite 300B
Cumming, GA 30040-1226
Phone (770) 205-5551

National Provider Directory

National Provider Directory

Locations

5975 Parkway North Blvd
Ste 300B
Cumming, GA 30040
Phone (770) 205-5551

5000 Research Ct
Ste 450
Suwanee, GA 30024
Phone (770) 205-5551

Practitioners & affiliated clinicians

Practitioners 46

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 46

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1700913522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5975 PARKWAY NORTH BLVD",
            "address_2": "SUITE 300B",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300401226",
            "telephone_number": "770-205-5551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5975 PARKWAY NORTH BLVD",
            "address_2": "SUITE 300B",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300401226",
            "telephone_number": "770-205-5551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDZTHERAPY NETWORKS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "PANAGOPOULOS",
        "authorized_official_first_name": "HARRY",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "770-205-5551",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "GA",
            "license": "OT003813",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP005951",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.