Active NPI
Open Door Pediatric Therapy Services
- Hearing and Speech Clinic/Center
- Marietta, GA
National Provider Identifier
1962655514
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing and Speech Clinic/Center
- Legal business name
- OPEN DOOR PEDIATRIC THERAPY SERVICES
- Practice address
- 707 Whitlock Ave SW
Suite a-41
Marietta, GA 30064-3000 - Phone
- (404) 213-6918
- NPI assigned
- Oct 28, 2008
- 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
- Mrs. Amanda S Goodman
- Title
- Co-Owner
- Phone
- (404) 213-6918
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing and Speech Clinic/Center | 261QH0700X | Primary |
Addresses
Primary practice location
707 Whitlock Ave SW
Suite a-41
Marietta, GA 30064-3000
Mailing address
707 Whitlock Ave SW
Suite a-41
Marietta, GA 30064-3000
Phone (404) 213-6918
National Provider Directory
National Provider DirectoryLocations
707 Whitlock Ave SW
Ste A41
Marietta, GA 30064
Phone (404) 213-6918
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225152000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1225152000000",
"number": "1962655514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "707 WHITLOCK AVE SW",
"address_2": "SUITE A-41",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300643000",
"telephone_number": "404-213-6918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "707 WHITLOCK AVE SW",
"address_2": "SUITE A-41",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300643000",
"telephone_number": "404-213-6918"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPEN DOOR PEDIATRIC THERAPY SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2008-10-28",
"last_updated": "2008-10-28",
"status": "A",
"authorized_official_last_name": "GOODMAN",
"authorized_official_first_name": "AMANDA",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "CO-OWNER",
"authorized_official_telephone_number": "404-213-6918",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "261QH0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, Hearing and Speech",
"state": null,
"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 Oct 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.