Activekidz and Adult Therapy Services
Organization Active NPI Pediatric Rehabilitation Medicine Physician · Rome, GA
NPI 1720834302 · NPPES record last updated Apr 25, 2024
Key facts
- NPI
- 1720834302
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatric Rehabilitation Medicine Physician 2081P0010X
- Legal business name
- ACTIVEKIDZ AND ADULT THERAPY SERVICES
- Practice address
- 212 W 3Rd St SW
Rome, GA 30165-2802 - Phone
- (706) 295-4260
- NPI assigned
- Apr 25, 2024
- Organization subpart
- No
Authorized official
- Name
- Susan Gerald Cook
- Title
- Owner
- Phone
- (770) 207-6390
Corporate family (same tax ID) 2
Practitioners 1
National Provider Directory
- Tax ID family
- Activekidz and Adult Therapy Services
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Rehabilitation Medicine Physician |
2081P0010X | Yes |
Addresses
Primary practice location
212 W 3Rd St SW
Rome, GA 30165-2802
Mailing address
1431 Capital Ave Ste 123
Watkinsville, GA 30677-1883
Other providers in Rome, GA
- Janice Abernathy
- Umesha Abeysinghe
- Access Homecare Services, Inc.
- Jennifer Ackley
- Lisa Pinkard Acree
- Julius Tyler Adams
- Larry Stephen Adams Jr.
- Peter David Adams
- Shabonjoli Precious Adams
- Tresselyn Douglas Adams
All providers in Rome, GA · Pediatric Rehabilitation Medicine Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 25, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.