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:
Map and Directions
Authorized official contact:
Name: Cook, Susan Physical Therapist (PT)
Phone: (770) 207-6390

Health care specialties

SpecialtyCodeLicense #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 8 months ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326120932 NPPES
Georgia MEDICAID 0008751002G
Georgia MEDICAID 000875102B
Georgia MEDICAID 210194080A
Georgia MEDICAID 619191397B

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