Compleat Pediatric Therapy

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

Legal business name

COMPLEAT PEDIATRIC THERAPY

Practice address

5810 Raventree CT
College Park, GA 30349-1684

Phone

(404) 213-2609

NPI assigned

Jan 4, 2022

Last updated

Jan 4, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Shannon Stephens, OTR/LNPI 1336528934

Title

Occupational Therapist/Owner

Phone

(404) 213-2609

Specialties & licenses 1

Addresses

Electronic endpoints 1

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.

• Shannon Stephens, OTR/L

  • Occupational Therapist
  • College Park, GA
  • NPI 1336528934
  NPD Authorized official

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

{
    "created_epoch": "1641254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641254400000",
    "number": "1881355642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5810 RAVENTREE CT",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303491684",
            "telephone_number": "404-213-2609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5810 RAVENTREE CT",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303491684",
            "telephone_number": "404-213-2609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLEAT PEDIATRIC THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-04",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A",
        "authorized_official_last_name": "STEPHENS",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "404-213-2609",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "shannonstephens82@yahoo.com",
            "affiliation": "N",
            "address_1": "5810 Raventree Ct",
            "city": "College Park",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303491684",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Yasmin Collier-Kenney, RN
• Community Behavioral Center LLC (111 dui school)
• Community Counseling & Resource Center Inc.
• Compass Primary Care LLC
• Compassionate in-Home Solutions, LLC
• Connecting Generations Inc.
• Conversations: the Wellness Spot
• Loundon David Cook
• Cornerstone Psychological Center
• Jamal R Cosby

• Pediatric Occupational Therapist in College Park, GA
• Providers in College Park, GA by specialty
• Pediatric Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; 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.