Peewee P.T., Inc.

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

PT008928 Issued in GA

Legal business name

PEEWEE P.T., INC.

Practice address

880 Marietta Hwy
Suite 630-310
Roswell, GA 30075-6755

Phone

(914) 837-8297

Fax

(770) 643-3788

NPI assigned

Feb 5, 2013

Organization subpart

No

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

Authorized official

Name

Nancy E. Wolff, M.S., P.T.NPI 1619021227

Title

President

Phone

(914) 837-8297

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nancy E Wolff, MS,PT

  • Physical Therapist
  • Roswell, GA
  • NPI 1619021227
  NPD (past) Authorized official

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

{
    "created_epoch": "1360022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360022400000",
    "number": "1760721179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 MARIETTA HWY",
            "address_2": "SUITE 630-310",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300756755",
            "telephone_number": "914-837-8297",
            "fax_number": "770-643-3788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 MARIETTA HWY",
            "address_2": "SUITE 630-310",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300756755",
            "telephone_number": "914-837-8297",
            "fax_number": "770-643-3788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEEWEE P.T., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-05",
        "last_updated": "2013-02-05",
        "status": "A",
        "authorized_official_last_name": "WOLFF",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-837-8297",
        "authorized_official_credential": "M.S., P.T."
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": "GA",
            "license": "PT008928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pediatric Physicians, P.C.
• Pediatric Therapy Services
• Pediatric Wellness Associates LLLP
• Laurie Fraser Peebles
• Mandi Peek, LPC
• Tatiana Nicole Pelt, MS, LPC
• Pelvic Health and Total Wellness
• Margaret Rossi Pendergrass, LCSW
• Peonies Aesthetics & Wellness Solutions, LLC
• Peoples Dental Center

• Pediatric Physical Therapist in Roswell, GA
• Providers in Roswell, GA by specialty
• Pediatric Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2013; 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.