Pediatric Therapy on the Go LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

PEDIATRIC THERAPY ON THE GO LLC

Practice address

2483 Heritage VLG Ste 16314
Snellville, GA 30078-6140

Phone

(770) 799-8116

NPI assigned

Jun 14, 2022

Organization subpart

No

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

Authorized official

Name

Katelynn Rickard, M.ED., CCC-SLPNPI 1861036642

Title

Owner

Phone

(229) 457-0337

Specialties & licenses 1

Addresses

Practitioners 1

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

• Katelynn Rickard, CCC-SLP

  • Speech-Language Pathologist
  • Suwanee, GA
  • NPI 1861036642
  NPD Authorized official

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

{
    "created_epoch": "1655164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655164800000",
    "number": "1912637810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2483 HERITAGE VLG STE 16314",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300786140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2483 HERITAGE VLG STE 16314",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300786140",
            "telephone_number": "770-799-8116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC THERAPY ON THE GO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-14",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A",
        "authorized_official_last_name": "RICKARD",
        "authorized_official_first_name": "KATELYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "229-457-0337",
        "authorized_official_credential": "M.ED., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaye Lynn Peabody, LAPC, NCC
• Peace of Hope, Inc.
• Peachtree Children'S Dentistry Snellville
• Peachtree Immediate Care FP, LLC
• Marjorie Peden, LPC
• Warren Terry Peeples II
• Rolando Argeniz Pena-Larios, PTA
• Pendulum Psychiatry
• Larobbie Shuntel Penister, RN BSN
• Lisandra Perez, RBT

• Speech-Language Pathologist in Snellville, GA
• Providers in Snellville, GA by specialty
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.