Our Children Therapy Services

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

PT007580 Issued in GA

Legal business name

OUR CHILDREN THERAPY SERVICES

Practice address

4352 Missoula PL
Douglasville, GA 30135-8608

Phone

(678) 715-1544

NPI assigned

Oct 4, 2006

Organization subpart

No

Name

Olymphia A JacksonNPI 1225124712

Title

MSPT

Phone

(678) 715-1544

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

• Olymphia Anecia Jackson, MSPT

  • Pediatric Physical Therapist
  • Douglasville, GA
  • NPI 1225124712

  Single Specialty

  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932295433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6867",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301540032",
            "telephone_number": "678-715-1544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4352 MISSOULA PL",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301358608",
            "telephone_number": "678-715-1544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR CHILDREN THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "OLYMPHIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MSPT",
        "authorized_official_telephone_number": "678-715-1544"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": "GA",
            "license": "PT007580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Santos Efrain Ortiz
• Akinyi Osano, DAC, LAC. DOM
• Neal K Osborn, M.D.
• Courtney Oshiro, PA-C
• Sami Osman, M.D.
• Our Family L.L.C
• Tyronica Outlaw
• Over and Beyond Homecare LLC
• Jennifer Owens, CACII
• Leslie Owens, IBCLC

• All providers in Douglasville, GA
• Pediatric Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.