KIDS CREEK THERAPY NPI 1700983772

NPI Information

  • NPI: 1700983772
  • Provider Name: KIDS CREEK THERAPY
  • Classification: Clinic/Center - 261QM1300X
  • Specialization: Multi-Specialty
  • Entity Type: Organization
  • Address: 4055 JOHNS CREEK PKWY STE A
    SUWANEE, GA
    ZIP 30024
  • Phone: (770) 888-5221

Map and Directions

Get Directions

NPI Details

KIDS CREEK THERAPY is a multi-specialty clinic center in Suwanee, GA. KIDS CREEK THERAPY NPI is 1700983772. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4055 JOHNS CREEK PKWY STE A
SUWANEE, GA
ZIP 30024-299
Phone: (770) 888-5221
Fax: (678) 680-5929

The provider's authorized official is Myrlaine Darius .
The authorized official title is Admin Director and has the following contact phone number (770) 888-5221.

The enumeration date for this NPI number is 9/20/2006 and was last updated on 10/2/2023.

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
1225100000XPhysical TherapistPT008827GEORGIANo
2225X00000XOccupational TherapistOT003747GEORGIANo
3225X00000XOccupational TherapistOT001067GEORGIANo
4225X00000XOccupational TherapistOT003625GEORGIANo
5225X00000XOccupational TherapistOT001466GEORGIANo
6103K00000XBehavior AnalystNo
7106E00000XAssistant Behavior AnalystNo
8106S00000XBehavior TechnicianNo
9225100000XPhysical TherapistPT008420GEORGIANo
10235Z00000XSpeech-Language PathologistSLP004267GEORGIANo
11235Z00000XSpeech-Language PathologistSLP005105GEORGIANo
12235Z00000XSpeech-Language PathologistSLP005895GEORGIANo
13235Z00000XSpeech-Language PathologistSLP006187GEORGIANo
14235Z00000XSpeech-Language PathologistSLP004972GEORGIANo
15261QM1300XClinic/CenterMulti-SpecialtyYes

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.