THERAPIST DIRECT INCORPORATED NPI 1306985072

NPI Information

NPI: 1306985072
Provider Name: THERAPIST DIRECT INCORPORATED
Classification: Specialist/Technologist - 2355S0801X
Specialization: Speech-Language Assistant
Entity Type: Organization
Address: 260 BENTLEY PLACE WAY
COVINGTON, GA
ZIP 30016
Phone: (404) 756-2600

Map and Directions

Get Directions

NPI Details

THERAPIST DIRECT INCORPORATED is a speech-language assistant specialist technologist in Covington, GA. THERAPIST DIRECT INCORPORATED NPI is 1306985072. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

260 BENTLEY PLACE WAY
COVINGTON, GA
ZIP 30016-106
Phone: (404) 756-2600
Fax: (404) 756-2524

The provider's authorized official is Sabrenia Renee Roberts .
The authorized official title is Speech Language Pathologist and has the following contact phone number (678) 725-4628.

The enumeration date for this NPI number is 2/6/2007 and was last updated on 9/11/2025.

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	235Z00000X	Speech-Language Pathologist		SLP004287	GEORGIA	No
2	2355S0801X	Specialist/Technologist	Speech-Language Assistant	SLPA000040	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	10046954	MEDICAID	GEORGIA
2	347237	MEDICAID	GEORGIA

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: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI

Next NPI