RISING STARS CHILDREN'S THERAPY INC NPI 1104099134

NPI Information

NPI: 1104099134
Provider Name: RISING STARS CHILDREN'S THERAPY, INC
Classification: Clinic/Center - 261QR0400X
Entity Type: Organization

Specialization: Rehabilitation

Address:
9880 HICKORY FLAT HWY
WOODSTOCK, GA
ZIP 30188
Phone: (770) 345-2804
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RISING STARS CHILDREN'S THERAPY, INC is a rehabilitation clinic center in Woodstock, GA. RISING STARS CHILDREN'S THERAPY, INC NPI is 1104099134. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

9880 HICKORY FLAT HWY
WOODSTOCK, GA
ZIP 30188-081
Phone: (770) 345-2804
Fax: (770) 783-5049

The provider's authorized official is Kristi A. Estes .
The authorized official title is Occupational Therapist and has the following contact phone number (770) 345-2804.

The enumeration date for this NPI number is 4/10/2008 and was last updated on 1/4/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2251P0200X	Physical Therapist	Pediatrics			No
2	225XP0200X	Occupational Therapist	Pediatrics			No
3	235Z00000X	Speech-Language Pathologist				No
4	261QR0400X	Clinic/Center	Rehabilitation	OT003297	GEORGIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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