NPI 1194235028 · live from the CMS NPI Registry
Able Pediatrics Health Services LLC
Occupational Therapist, Pediatrics in Augusta, GA. National Provider Identifier 1194235028, active.
NPI record
| NPI | 1194235028 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Occupational Therapist, Pediatrics 225XP0200X |
| Practice location | 3727 Executive Center Dr, Augusta, GA 30907 |
| Practice phone | 706-842-5331 |
| Enumerated | October 5, 2017 |
| Last updated | January 4, 2018 |
| Authorized official | Shannon Myers, Medical Director |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFT011580 (GA) |
| Speech-Language Pathologist, | 235Z00000X | — |
| Occupational Therapist, Pediatrics primary | 225XP0200X | OT006115 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.