Activekidz and Adult Therapy Services

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

ACTIVEKIDZ AND ADULT THERAPY SERVICES

Practice address

1247 Tuscany Drive
Suite C
Braselton, GA 30517-3402

Phone

(770) 207-6390

Fax

(678) 374-4855

NPI assigned

Jul 9, 2017

Last updated

Oct 30, 2020By 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

Mrs. Susan Cook, PTNPI 1295775955

Title

Owner

Phone

(770) 207-6390

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Susan Gerald Cook, PT

  • Physical Therapist
  • Monroe, GA
  • NPI 1295775955
  Authorized official Same address or phone

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

{
    "created_epoch": "1499558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604016000000",
    "number": "1720500010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 OLD MILL TRCE",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306564379",
            "telephone_number": "706-338-8058",
            "fax_number": "678-374-4855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1247 TUSCANY DRIVE",
            "address_2": "SUITE C",
            "city": "BRASELTON",
            "state": "GA",
            "postal_code": "305173402",
            "telephone_number": "770-207-6390",
            "fax_number": "678-374-4855"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3740 Village Way Ste 202",
            "address_purpose": "LOCATION",
            "city": "Braselton",
            "state": "GA",
            "postal_code": "305175103",
            "country_code": "US",
            "telephone_number": "770-207-6390",
            "fax_number": "678-374-4855",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ACTIVEKIDZ AND ADULT THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-09",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-29",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-207-6390",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "=========",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Abney, PA
• Talal Aboud, M.D.
• Active Care Physical Therapy, Inc.
• Gary R. Adams, DC
• Kristen S Adams, MM, MT-BC
• Advanced Urgent Care LLC
• Advanced Urology Institute of Georgia, LLC
• Donatine Kwesi Oduam Afful, DO

• Physical Therapist in Braselton, GA
• Providers in Braselton, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2020; 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.