Phoenix Therapy Solutions LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

PHOENIX THERAPY SOLUTIONS LLC

Practice address

2959 Legacy Park Dr
Lithia Springs, GA 30122-4344

Phone

(803) 413-0489

NPI assigned

Feb 9, 2023

Last updated

Feb 16, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miss Camille S Johnson, MS-CCC SLPNPI 1063957975

Title

Speech Language Therapist

Phone

(803) 413-0489

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Camille Johnson, MS CCC-SLP

  • Speech-Language Pathologist
  • Lithia Springs, GA
  • NPI 1063957975
  NPD Authorized official

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

{
    "created_epoch": "1675900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676505600000",
    "number": "1710684899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2959 LEGACY PARK DR",
            "city": "LITHIA SPRINGS",
            "state": "GA",
            "postal_code": "301224344",
            "telephone_number": "803-413-0489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2959 LEGACY PARK DR",
            "city": "LITHIA SPRINGS",
            "state": "GA",
            "postal_code": "301224344",
            "telephone_number": "803-413-0489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX THERAPY SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-09",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "CAMILLE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "SPEECH LANGUAGE THERAPIST",
        "authorized_official_telephone_number": "803-413-0489",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "MS-CCC SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cherie M Patterson
• Clark Payne
• Tonya Pepper, P.A.-C
• Kyjuana Perry
• Christie Phillips
• Physicians Care Center of Lithia Springs (West Cobb Medical Associates)
• Physicians Care Centers of Lithia Springs
• Physiotherapy Associates
• Jaya Pitts
• Shevin Dwight Pollydore, M.D. FAAPMR

• Speech-Language Pathologist in Lithia Springs, GA
• Providers in Lithia Springs, GA by specialty
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; 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.