NPIMap

Organization Active NPI

Kidz Therapies of Statesboro

  • Occupational Therapist
  • Statesboro, GA
National Provider Identifier
1821255522
Registry record updated May 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT003264 Issued in GA
Legal business name
KIDZ THERAPIES OF STATESBORO
Practice address
109 S Zetterower Ave
Statesboro, GA 30458-4898
Phone
(912) 489-1258
Fax
(912) 764-7006
NPI assigned
May 20, 2008
Last updated
May 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2008

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

Authorized official

Name
Mrs. Diana Tompkins, OTNPI 1205011194
Title
Owner
Phone
(912) 232-9700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT003264 GA Primary

Addresses

Primary practice location

109 S Zetterower Ave
Statesboro, GA 30458-4898

Mailing address

PO Box 1605
Statesboro, GA 30459-1605
Phone (912) 489-1258

National Provider Directory

National Provider Directory

Locations

109 S Zetterower Ave
Statesboro, GA 30458
Phone (912) 489-1258

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211241600000",
    "number": "1821255522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1605",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304591605",
            "telephone_number": "912-489-1258",
            "fax_number": "912-764-7006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 S ZETTEROWER AVE",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304584898",
            "telephone_number": "912-489-1258",
            "fax_number": "912-764-7006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDZ THERAPIES OF STATESBORO",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-20",
        "last_updated": "2008-05-20",
        "status": "A",
        "authorized_official_last_name": "TOMPKINS",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-232-9700",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT003264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Statesboro, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; 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.