Birds of Paradise Home Wellness and Physical Therapy Services,LLC

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA003477 Issued in GA

Legal business name

BIRDS OF PARADISE HOME WELLNESS AND PHYSICAL THERAPY SERVICES,LLC

Practice address

1550 S Hairston Rd
Stone Mountain, GA 30088-3535

Phone

(678) 651-4902

NPI assigned

Jul 29, 2018

Organization subpart

No

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

Authorized official

Name

Jaya ReevesNPI 1932665353

Title

Owner/Pta

Phone

(678) 651-4902

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.

• Jaya Reeves

  • Physical Therapy Assistant
  • Stone Mountain, GA
  • NPI 1932665353
  NPD Authorized official

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

{
    "created_epoch": "1532822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550448000000",
    "number": "1942788310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "754 POST ROAD LN",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300882246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 S HAIRSTON RD",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300883535",
            "telephone_number": "678-651-4902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIRDS OF PARADISE HOME WELLNESS AND PHYSICAL THERAPY SERVICES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-29",
        "last_updated": "2019-02-18",
        "status": "A",
        "authorized_official_last_name": "REEVES",
        "authorized_official_first_name": "JAYA",
        "authorized_official_title_or_position": "OWNER/PTA",
        "authorized_official_telephone_number": "678-651-4902"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "GA",
            "license": "PTA003477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Better Life Counseling, LLC
• Betty Family Advocate Group
• Beyond Favor Care, LLC
• Big Mama House
• Bruce Raymond Billinger, DDS MS
• Birds of Paradise Physical Therapy Services,LLC
• BJ's Home Sweet Home Care LLC
• BJ&W Personal Care Home Inc.
• Tameka Blackmon, REGISTERED NURSE
• Jennifer Blackstone, OTR/L

• Physical Therapy Assistant in Stone Mountain, GA
• Providers in Stone Mountain, GA by specialty
• Physical Therapy Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2019; 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.