Active NPI
Empower Recreational Therapy, LLC
- Recreation Therapist
- Marietta, GA
National Provider Identifier
1902730112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Recreation Therapist
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.