ACTIVEKIDZ AND ADULT THERAPY SERVICES – NPI #1093561656
Physical Medicine & Rehabilitation

A physiatrist who utilizes an interdisciplinary approach and addresses the prevention, diagnosis, treatment and management of congenital and childhood-onset physical impairments including related or secondary medical, physical, functional, psychosocial and vocational limitations or conditions, with an understanding of the life course of disability. This physician is trained in the identification of functional capabilities and selection of the best of rehabilitation intervention strategies, with an understanding of the continuum of care.

ACTIVEKIDZ AND ADULT THERAPY SERVICES is a provider located in TYRONE, GA. NPPES has assigned the NPI number 1093561656 to ACTIVEKIDZ AND ADULT THERAPY SERVICES on April 25, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2081P0010X from the Health Care Provider Taxonomy code set, which is classified as Physical Medicine & Rehabilitation, specializing in Pediatric Rehabilitation Medicine

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ACTIVEKIDZ AND ADULT THERAPY SERVICES below.

NPI Profile for
ACTIVEKIDZ AND ADULT THERAPY SERVICES

NPI Number
1093561656
Enumeration Date

(more than 2 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ACTIVEKIDZ AND ADULT THERAPY SERVICES
Primary location
1130 SENOIA RD STE A1
TYRONE, GA 30290-1640
Phone: (678) 632-6765 Fax:
Mailing address
1431 CAPITAL AVE STE 123
WATKINSVILLE, GA 30677-1883
Phone: Fax:
Organization Subpart
No
Authorized Official
SUSAN COOK
OWNER
Phone: (770) 207-6390
Updated
Certification Date
Apr 25, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2081P0010X
- Physical Medicine & Rehabilitation / Pediatric Rehabilitation Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.