Heaven's Gait Therapeutic Riding, Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

80218 Issued in GA

Legal business name

HEAVEN'S GAIT THERAPEUTIC RIDING, INC

Practice address

2471 E Cherokee Dr
Woodstock, GA 30188-2000

Phone

(770) 656-5764

NPI assigned

Sep 8, 2016

Organization subpart

No

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

Authorized official

Name

Kelly Rickard

Title

Owner/Director

Phone

(770) 656-5764

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1473292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473292800000",
    "number": "1851848766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2471 E CHEROKEE DR",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301882000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2471 E CHEROKEE DR",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301882000",
            "telephone_number": "770-656-5764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVEN'S GAIT THERAPEUTIC RIDING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-08",
        "last_updated": "2016-09-08",
        "status": "A",
        "authorized_official_last_name": "RICKARD",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "770-656-5764"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "GA",
            "license": "80218",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PATH INTERNATIONAL CERTIFICATION",
            "identifier": "80218",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Woodstock, GA
• Providers in Woodstock, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2016; 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.