Organization Active NPI

Kurkjian Pediatric Services

  • Occupational Therapist
  • Marietta, GA
National Provider Identifier
1841957230
Registry record updated Nov 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
KURKJIAN PEDIATRIC SERVICES
Practice address
540 Powder Springs St Ste C17
Marietta, GA 30064-3561
Phone
(404) 644-2027
Fax
(866) 430-3367
NPI assigned
Nov 21, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2021

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

Authorized official

Name
Mrs. Charlene C Kurkjian, OTR/LNPI 1255406245
Title
Owner
Phone
(404) 933-9869

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X Primary

Addresses

Primary practice location

540 Powder Springs St Ste C17
Marietta, GA 30064-3561

Mailing address

1525 Haven Crest Dr
Powder Springs, GA 30127-4961
Phone (404) 933-9869

Other names 1

  • Kurkjian Pediatric Services Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1637452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637452800000",
    "number": "1841957230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 HAVEN CREST DR",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301274961",
            "telephone_number": "404-933-9869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 POWDER SPRINGS ST STE C17",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300643561",
            "telephone_number": "404-644-2027",
            "fax_number": "866-430-3367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KURKJIAN PEDIATRIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-21",
        "last_updated": "2021-11-21",
        "certification_date": "2021-11-21",
        "status": "A",
        "authorized_official_last_name": "KURKJIAN",
        "authorized_official_first_name": "CHARLENE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-933-9869",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kurkjian Pediatric Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2021; 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.