SUNSHINE PEDIATRIC THERAPY, LLC (NPI# 1114297751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114297751 |
| Entity Type | Organization |
| Organization Name | SUNSHINE PEDIATRIC THERAPY, LLC |
| Practice Address |
4179 Glengary Dr Ne Atlanta GA 30342-3505 |
| Practice Telephone | 7705972313 |
| Practice Fax Number | 4045965433 |
| Mailing Telephone | 7705972313 |
| Mailing Fax Number | 4045965433 |
| Enumeration Date | 2012-01-11 |
| Last Update Date | 2019-03-20 |
| Authorized Official Name | JACLYN N MAXWELL (CO-OWNER) |
| Authorized Official Telephone | 7705972313 |
| Authorized Official Credential | PT, DPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1092 Mendell Cir Ne, Atlanta, GA 303192327 | 7702569921 | 4042287107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093136285 | Sunshine Pediatric Therapy, LLC | Occupational Therapist | 2521 Woodhurst Dr Se, Huntsville, AL 35803-7900 | 2013-12-15 |
| 1265862411 | Sunshine Pediatric Therapy, LLC | Physical Therapist | 601 S Tree Garden Dr, St Augustine, FL 32086-5234 | 2013-11-24 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Sunshine Pediatric Therapy, LLC | 213 S Ridge Street, Breckenridge, CO 80424 |
| Street Address |
4179 GLENGARY DR NE |
| City | ATLANTA |
| State | GA |
| Zip Code | 30342-3505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679711543 | Sarah Fain | Occupational Therapist | 4179 Glengary Dr Ne, Atlanta, GA 30342-3505 | 2009-01-30 |
| 1164728564 | Jaclyn N Maxwell | Physical Therapist | 4179 Glengary Dr Ne, Atlanta, GA 30342-3505 | 2011-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820614 | Nia Charnice Griffin | Nurse Practitioner | 5670 Peachtree Dunwoodyroad, Suite 900, Atlanta, GA 30342 | 2020-10-26 |
| 1255945184 | Jennifer Lynne Cole | Behavior Technician | 5555 Glenridge Con Suite 200, Atlanta, GA 30342 | 2020-09-08 |
| 1093336232 | Van Tran | Respiratory Therapist, Registered | 1000 Johnson Ferry Rd Ne, Atlanta, Ga 30342, Atlanta, GA 30342 | 2020-04-28 |
| 1356978340 | Twyla Douglas Jackson I | Clinical Nutrition, 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342 | 2020-03-27 | |
| 1760013411 | Emily Hamm | Dietitian, Registered | 933 D Johnson Ferry Road, Suite 250, Atlanta, GA 30342 | 2020-01-31 |
| 1043855984 | Mackenzie Tucker Wayda | Registered Nurse | 1001 Johnson Ferry Rd. Ne, Atlanta, GA 30342 | 2019-11-14 |
| 1386288454 | Tiauna Lashun Cochman | Psychologist | 1307 Glenridge Dr, Sandy Springs, GA 30342 | 2019-11-01 |
| 1164074399 | Stephen J. White | Hearing Instrument Specialist | 5775 Peachtree Dunwoody Rd Suite 600 Fl. 6, Uhc Hearing, Atl., GA 30342 | 2019-07-09 |
| 1144788142 | Jaytyn LLC | Internal Medicine | 4600 Broswell Road, Atlanta, GA 30342 | 2019-03-08 |
| 1760954705 | Mishele Walker LLC | Counselor | 555 Glenridge Connector, Suite 200, Sandy Springs, GA 30342 | 2018-12-31 |
| Find all providers in zip 30342 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598379794 | Building Pathways Therapy LLC | Physical Therapist | 2124 Cheshire Bridge Rd Ne Apt 2006, Atlanta, GA 30324-5731 | 2020-09-04 |
| 1679191464 | Pt Mamas, LLC | Physical Therapist | 5660 Lake Forrest Dr, Atlanta, GA 30342-4635 | 2020-07-08 |
| 1669009627 | Rebecca Grant | Physical Therapist | 5461 Meridian Mark Rd Ste 300, Atlanta, GA 30342-4014 | 2020-03-26 |
| 1720535867 | Therapy Works PC | Physical Therapist | 1514 Sheffield Dr Ne, Atlanta, GA 30329-3424 | 2016-09-07 |
| 1134505480 | Megan Moran | Physical Therapist | 3411 Bachelor St, Atlanta, GA 30344-5101 | 2015-08-09 |
| 1023417599 | Andrea Millea | Physical Therapist | 758 Brookridge Dr Ne, Atlanta, GA 30306-3617 | 2014-08-20 |
| 1821278730 | Elena Strong Leonard | Physical Therapist | 3285 Pine Meadow Rd Nw, Atlanta, GA 30327-2217 | 2007-11-07 |
| 1255522033 | Laura Johnson Tarrago | Physical Therapist | 5260 Manhasset Ct, Atlanta, GA 30338-3410 | 2007-08-06 |
| 1154535508 | Movin & Groovin Children's Therapy Services, Inc. | Physical Therapist | 17 Interlochen Dr Ne, Atlanta, GA 30342-3701 | 2007-05-09 |
| 1508820036 | Helping Hands, Inc. | Physical Therapist | 966 Samples Lane Nw, Atlanta, GA 30318 | 2006-04-13 |
| Find all providers in ATLANTA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.