Lil Ones Rehab, LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

LIL ONES REHAB, LLC

Practice address

574 Creekwood CT SE
Conyers, GA 30094-3520

Phone

(770) 679-6378

Fax

(770) 679-0718

NPI assigned

Aug 29, 2007

Last updated

Aug 29, 2007By 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

Lisa Renee Alexander

Title

Co-Owner

Phone

(770) 679-6378

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188345600000",
    "number": "1730373135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "574 CREEKWOOD CT SE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300943520",
            "telephone_number": "770-679-6378",
            "fax_number": "770-679-0718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "574 CREEKWOOD CT SE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300943520",
            "telephone_number": "770-679-6378",
            "fax_number": "770-679-0718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIL ONES REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-29",
        "last_updated": "2007-08-29",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "770-679-6378"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2007; 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.