NPIMap

Organization Active NPI

Medi Home Therapy LLC

  • Physical Therapist
  • Conyers, GA
National Provider Identifier
1831491463
Registry record updated Dec 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
MEDI HOME THERAPY LLC
Practice address
1257 Commercial Dr SW Ste B
Conyers, GA 30094-5991
Phone
(770) 483-6393
NPI assigned
Dec 2, 2010
Organization subpart
Yes
Parent organization
MEDI CAREGIVERSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 3, 2010

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

Authorized official

Name
Jessica Lane
Title
Administrator
Phone
(770) 483-6393

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X

Addresses

Primary practice location

1257 Commercial Dr SW Ste B
Conyers, GA 30094-5991

Mailing address

1257 Commercial Dr SW Ste B
Conyers, GA 30094-5991

Other names 1

  • MEDI CAREGIVERS HOME THERAPY Doing business as

National Provider Directory

National Provider Directory

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1291248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291334400000",
    "number": "1831491463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1257 COMMERCIAL DR SW STE B",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300945991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1257 COMMERCIAL DR SW STE B",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300945991",
            "telephone_number": "770-483-6393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDI HOME THERAPY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDI CAREGIVERS",
        "enumeration_date": "2010-12-02",
        "last_updated": "2010-12-03",
        "status": "A",
        "authorized_official_last_name": "LANE",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "770-483-6393"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDI CAREGIVERS HOME THERAPY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Conyers, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2010; 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.