Our Therapy Place, LLC

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

PT12329 Issued in GA

Legal business name

OUR THERAPY PLACE, LLC

Practice address

402 Stephanie Ave
Rincon, GA 31236-9692

Phone

(757) 685-9156

Fax

(912) 785-2788

NPI assigned

May 10, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Rebecca Jean Fitzpatrick, PT, DPTNPI 1891173035

Title

Owner

Phone

(912) 319-0399

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Rebecca Fitzpatrick, DPT

  • Physical Therapist
  • Norfolk, VA
  • NPI 1891173035

  Pediatrics

  NPD Authorized official

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

{
    "created_epoch": "1525910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525910400000",
    "number": "1770073272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 STEPHANIE AVE",
            "city": "RINCON",
            "state": "GA",
            "postal_code": "312369692",
            "telephone_number": "757-685-9156",
            "fax_number": "912-785-2788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 STEPHANIE AVE",
            "city": "RINCON",
            "state": "GA",
            "postal_code": "312369692",
            "telephone_number": "757-685-9156",
            "fax_number": "912-785-2788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR THERAPY PLACE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-10",
        "last_updated": "2018-05-10",
        "status": "A",
        "authorized_official_last_name": "FITZPATRICK",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-319-0399",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": "GA",
            "license": "PT12329",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003186330A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Virginia Ann Nguyen, RRT
• Angela Marie Odom, FNP-C
• John W Odom, MD
• Teresa Lynn Oglesbee, LPC
• Optim Orthopedics, LLC
• Tracey Embly Pace, TH.D.
• Tammy Pack, LMT
• Raelynn M Padilla Hampton, RBT
• Kenyanna Parrish
• Deborah Patalano, OTR/L, LMT

• Pediatric Physical Therapist in Rincon, GA
• Providers in Rincon, 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 May 10, 2018; 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.