Organization Active NPI

Magnolia Therapy Services, LLC

  • Pediatric Occupational Therapist
  • Powder Springs, GA
National Provider Identifier
1801714456
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
Legal business name
MAGNOLIA THERAPY SERVICES, LLC
Practice address
1370 Bullard Rd
Powder Springs, GA 30127-1123
Phone
(678) 296-9393
NPI assigned
Jul 9, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

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

Authorized official

Name
Emily G Le Blanc, OTR/L
Title
Occupational Therapist
Phone
(678) 296-9393

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225XP0200X Primary

Addresses

Primary practice location

1370 Bullard Rd
Powder Springs, GA 30127-1123

Mailing address

1370 Bullard Rd
Powder Springs, GA 30127-1123
Phone (678) 296-9393

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1783555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783555200000",
    "number": "1801714456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1370 BULLARD RD",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301271123",
            "telephone_number": "678-296-9393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1370 BULLARD RD",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301271123",
            "telephone_number": "678-296-9393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-09",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A",
        "authorized_official_last_name": "LE BLANC",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "678-296-9393",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Powder Springs, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; 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.