Organization Active NPI

Equestrian Therapy

  • Physical Therapy Assistant
  • Atlanta, GA
National Provider Identifier
1972832434
Registry record updated Dec 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
A000867 Issued in GA
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

Updated by the provider on Dec 12, 2009

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)CodeLicenseStatePrimary
Physical Therapy AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.