Active NPI
Equestrian Therapy
- Physical Therapy Assistant
- Atlanta, GA
National Provider Identifier
1972832434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- A000867
- Legal business name
- EQUESTRIAN THERAPY
- Practice address
- 802 Treelodge Pkwy
Atlanta, GA 30350-6007 - Phone
- (770) 396-7222
- Fax
- (770) 396-7722
- NPI assigned
- Dec 12, 2009
- 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
- Ms. Pamela J Kirchner, PTA
- Title
- Owner/Pta
- Phone
- (770) 396-7222
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | A000867 | GA | Primary |
Addresses
Primary practice location
802 Treelodge Pkwy
Atlanta, GA 30350-6007
Mailing address
802 Treelodge Pkwy
Atlanta, GA 30350-6007
Phone (770) 396-7222
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260576000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1260576000000",
"number": "1972832434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "802 TREELODGE PKWY",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303506007",
"telephone_number": "770-396-7222",
"fax_number": "770-396-7722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "802 TREELODGE PKWY",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303506007",
"telephone_number": "770-396-7222",
"fax_number": "770-396-7722"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EQUESTRIAN THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2009-12-12",
"last_updated": "2009-12-12",
"status": "A",
"authorized_official_last_name": "KIRCHNER",
"authorized_official_first_name": "PAMELA",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER/PTA",
"authorized_official_telephone_number": "770-396-7222",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "PTA"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapy Assistant",
"state": "GA",
"license": "A000867",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.