Organization Active NPI

Children'S Therapy Group, Inc.

  • Speech-Language Pathologist
  • Lawrenceville, GA
National Provider Identifier
1801211636
Registry record updated Mar 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
5061 Issued in GA
Legal business name
CHILDREN'S THERAPY GROUP, INC.
Practice address
65 Darcee CT
Lawrenceville, GA 30046-7402
Phone
(678) 858-4777
Fax
(678) 985-3953
NPI assigned
Mar 4, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2014

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

Authorized official

Name
Mrs. Brook Todd, M.ED
Title
President
Phone
(678) 858-4777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 5061 GA Primary

Addresses

Primary practice location

65 Darcee CT
Lawrenceville, GA 30046-7402

Mailing address

65 Darcee CT
Lawrenceville, GA 30046-7402
Phone (678) 858-4777

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1393891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393891200000",
    "number": "1801211636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 DARCEE CT",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300467402",
            "telephone_number": "678-858-4777",
            "fax_number": "678-985-3953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 DARCEE CT",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300467402",
            "telephone_number": "678-858-4777",
            "fax_number": "678-985-3953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S THERAPY GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-04",
        "last_updated": "2014-03-04",
        "status": "A",
        "authorized_official_last_name": "TODD",
        "authorized_official_first_name": "BROOK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "678-858-4777",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.ED"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "5061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.