TAILORED OCCUPATIONAL THERAPY LLC NPI 1265500243

NPI Information

NPI: 1265500243
Provider Name: TAILORED OCCUPATIONAL THERAPY LLC

Former Legal Business Name: TAILORED FOR TOTS LLC

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
351 THORNTON RD STE 125
LITHIA SPRINGS, GA
ZIP 30122
Phone: (770) 577-0399
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TAILORED OCCUPATIONAL THERAPY LLC is a specialist in Lithia Springs, GA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. TAILORED OCCUPATIONAL THERAPY LLC NPI is 1265500243. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Tailored For Tots Llc.

The provider's business location address is:

351 THORNTON RD STE 125
LITHIA SPRINGS, GA
ZIP 30122-589
Phone: (770) 577-0399
Fax: (678) 922-1515

The provider's authorized official is Dana L Harris .
The authorized official title is Ceo and has the following contact phone number (678) 637-7812.

The enumeration date for this NPI number is 11/30/2006 and was last updated on 3/11/2021.

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	261QD1600X	Clinic/Center	Developmental Disabilities			No
2	261QP2000X	Clinic/Center	Physical Therapy			No
3	174400000X	Specialist		OT001309	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	000683812C	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: 5/5/2024

NPI Synchronization or Removal

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