Intown Pediatric Therapy LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT003476 Issued in GA

Legal business name

INTOWN PEDIATRIC THERAPY LLC

Practice address

1110 Los Angeles Ave NE
Atlanta, GA 30306-3515

Phone

(678) 458-8762

Fax

(404) 607-7206

NPI assigned

Jun 19, 2014

Organization subpart

No

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

Authorized official

Name

Dana A Dinet

Title

Occupational Therapist

Phone

(678) 458-8762

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1403136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403136000000",
    "number": "1740694579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 LOS ANGELES AVE NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303063515",
            "telephone_number": "678-458-8762",
            "fax_number": "404-607-7206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 LOS ANGELES AVE NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303063515",
            "telephone_number": "678-458-8762",
            "fax_number": "404-607-7206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTOWN PEDIATRIC THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-19",
        "last_updated": "2014-06-19",
        "status": "A",
        "authorized_official_last_name": "DINET",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "678-458-8762"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT003476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000936911B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Intown Medicine Inc
• Intown Optics Inc
• Intown Oral Surgery, LLC
• Intown Pediatric and Adolescent Medicine
• Intown Pediatric Behavioral Wellness LLC
• Intown Pediatrics
• Intown Physical Therapy, LLC
• Intown Primary Care, PC
• Intown Psychological Associates LLC
• Intown Psychology, LLC

• Occupational Therapist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2014; 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.