Trapeze Therapy, LLC

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Legal business name

TRAPEZE THERAPY, LLC

Practice address

160 Tracy St
Suite a
Athens, GA 30601-1979

Phone

(706) 340-3481

NPI assigned

Jan 11, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Carlynn Corley Kenna, MS OTR/L

Title

Occupational Therapist / Director

Phone

(706) 340-3481

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1326240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337040000000",
    "number": "1790055432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1141 THORNWOOD DR",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306775342",
            "telephone_number": "706-340-3481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 TRACY ST",
            "address_2": "SUITE A",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306011979",
            "telephone_number": "706-340-3481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAPEZE THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-11",
        "last_updated": "2012-05-15",
        "status": "A",
        "authorized_official_last_name": "KENNA",
        "authorized_official_first_name": "CARLYNN",
        "authorized_official_middle_name": "CORLEY",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST / DIRECTOR",
        "authorized_official_telephone_number": "706-340-3481",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS OTR/L"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Kyle Townsend, MD
• Laurie Traill, PT
• Daniel Boyd Trammell, BSPHR MBA
• Joanna Linh Tran
• Damou Traore
• Rachel Victoria Treadwell, FNP-C
• Brianna Nicole Treaster, CNM
• Trek Holdings Inc
• Yousef Treki
• Mary Elizabeth Trent, PSY.D.

• Developmental Disabilities Clinic/Center in Athens, GA
• Providers in Athens, GA by specialty
• Developmental Disabilities Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2012; 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.