Organization Active NPI

Empower Recreational Therapy, LLC

  • Recreation Therapist
  • Marietta, GA
National Provider Identifier
1902730112
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Recreation TherapistTaxonomy code 225800000X
Legal business name
EMPOWER RECREATIONAL THERAPY, LLC
Practice address
1632 Tappahannock TRL
Marietta, GA 30062-2088
Phone
(717) 793-0687
Fax
(855) 717-1948
NPI assigned
Jun 11, 2026
Last updated
Jun 11, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

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

Authorized official

Name
Laura Kelly, MS, CTRS, FDRT
Title
Owner
Phone
(717) 793-0673

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Recreation Therapist 225800000X NU Primary

Addresses

Primary practice location

1632 Tappahannock TRL
Marietta, GA 30062-2088

Mailing address

PO Box 965501
Marietta, GA 30066-0009
Phone (717) 793-0687

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1781136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781136000000",
    "number": "1902730112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 965501",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300660009",
            "telephone_number": "717-793-0687",
            "fax_number": "855-717-1948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1632 TAPPAHANNOCK TRL",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300622088",
            "telephone_number": "717-793-0687",
            "fax_number": "855-717-1948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWER RECREATIONAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-11",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-793-0673",
        "authorized_official_credential": "MS, CTRS, FDRT"
    },
    "taxonomies": [
        {
            "code": "225800000X",
            "taxonomy_group": "",
            "desc": "Recreation Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 11, 2026; 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.