Activekidz And Adult Therapy Services
LBN: Activekidz And Adult Therapy Services
Activekidz And Adult Therapy Services is an health care organization with primary practice located at 1045 Old Mill Trce , Monroe GA 30656-4379. The organization recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is the primary health care specialty.
Activekidz And Adult Therapy Services can be contacted via phone (770) 207-6390, or through Cook, Susan via phone (770) 207-6390.
Contact Information
Primary practice address
1045 Old Mill Trce
Monroe GA 30656-4379
Phone: (770) 207-6390
Fax: (678) 374-4855
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 5588 | Georgia |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 7510 | Georgia |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 4397 | Georgia |
Profile Details
| NPI number | 1326120932 |
|---|---|
| LBN Legal business name | Activekidz And Adult Therapy Services |
| DBA Doing business as | |
| Authorized official | Cook, Susan Physical Therapist (PT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 20th, 2006 |
| Last updated | Apr 25th, 2024 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326120932 | NPPES |
| Georgia | MEDICAID | 0008751002G | |
| Georgia | MEDICAID | 000875102B | |
| Georgia | MEDICAID | 210194080A | |
| Georgia | MEDICAID | 619191397B |
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