SOUTHERN THERAPY SERVICES, INC (NPI# 1487838066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487838066 |
| Entity Type | Organization |
| Organization Name | SOUTHERN THERAPY SERVICES, INC |
| Other Organization Name | SOUTHERN THERAPY CARROLLTON DME |
| Practice Address |
812 S Park St Carrollton GA 30117-4412 |
| Practice Telephone | 7708347436 |
| Practice Fax Number | 7709305954 |
| Mailing Telephone | 7708347436 |
| Mailing Fax Number | 7709305954 |
| Enumeration Date | 2007-12-19 |
| Last Update Date | 2009-09-18 |
| Authorized Official Name | PENNY KENERLY (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 7708322484 |
| Authorized Official Credential | M.ED. |
| Is Organization Subpart | Y |
| Parent Organization Name | SOUTHERN THERAPY SERVICES, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Southern Therapy Carrollton DME | Other Name - Individual/Organization |
| Street Address |
812 S PARK ST |
| City | CARROLLTON |
| State | GA |
| Zip Code | 30117-4412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992769434 | Alison K. Drummond | Occupational Therapist | 812 S Park St, Carrollton, GA 30117-4412 | 2006-04-13 |
| 1144794322 | Evan Drew Brooks | Occupational Therapist | 812 S Park St, Carrollton, GA 30117-4412 | 2019-01-21 |
| 1598214611 | Olivia M Holz | Occupational Therapist | 812 S Park St, Carrollton, GA 30117-4412 | 2016-09-30 |
| 1518416080 | Elizabeth Gay Cullum | Occupational Therapist | 812 S Park St, Carrollton, GA 30117-4412 | 2016-09-26 |
| 1316399454 | Katie Thomas | Physical Therapist | 812 S Park St, Carrollton, GA 30117-4412 | 2016-07-12 |
| 1912352394 | Wise Cracks Chiropractic | Chiropractor | 812 S Park St, Suite 11, Carrollton, GA 30117-4412 | 2016-05-04 |
| 1023463403 | Kevin Swatek | Chiropractor | 812 S Park St, Suite 11, Carrollton, GA 30117-4412 | 2016-05-04 |
| 1669831327 | Interventional Spine and Pain Management Center, PC | Pain Medicine | 812 S Park St, Suite 5b, Carrollton, GA 30117-4412 | 2016-02-23 |
| 1265857809 | Tracey J Winter | Physical Therapist | 812 S Park St, Carrollton, GA 30117-4412 | 2014-02-19 |
| 1861821860 | Tracy R Grissett | Physical Therapist | 812 S Park St, Carrollton, GA 30117-4412 | 2013-11-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679199392 | Southern Rad Onc LLC | Radiology | 809 South Park Street, Carrollton, GA 30117 | 2020-06-18 |
| 1093361404 | Eyedeal Eyecare LLC | Optometrist | 1735 S Us 27, Carrollton, GA 30117 | 2019-08-12 |
| 1710412473 | Janis James | Optometrist | 1735 S, Us-27, Walmart Vision Center, Carrollton, GA 30117 | 2017-05-01 |
| 1568881951 | Omar Hajmurad | Anesthesiology | 812 S Park St Ste 5, Carrollton, GA 30117 | 2014-04-14 |
| 1134550353 | Goodbodys Minor Med Express Care | Nurse Practitioner | 1670 South Park St., Carrollton, GA 30117 | 2013-12-13 |
| 1306187570 | Myriam C Vela-ortiz | Internal Medicine | 157 Clinic Ave Ste 203, Carrollton, GA 30117 | 2013-03-12 |
| 1891030201 | Air Evac Ems, Inc. | Ambulance | 827 Old Bremen Rd, Carrollton, GA 30117 | 2012-12-11 |
| 1952682486 | Angelic Wings Transport, Inc. | Non-emergency Medical Transport (VAN) | 362 B Columbia Drive, Carrollton, GA 30117 | 2011-08-29 |
| 1073819256 | Atlanta Prosthetics & Orthotics, Inc. | Durable Medical Equipment & Medical Supplies | 812 South Park Street, Suite 2, Carrollton, GA 30117 | 2011-02-04 |
| 1255640348 | Amy Gilbert | Counselor | 515 Tanner St, Carrollton, GA 30117 | 2010-10-06 |
| Find all providers in zip 30117 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376574764 | Matrix Rehabilitation-georgia Inc | Clinic/Center | 1004 Bankhead Hwy, Bldg A Suite 5, Carrollton, GA 30117-1848 | 2006-07-05 |
| 1376581306 | Carrollton Physical Therapy Clinic, PC. | Clinic/Center | 1933 E Frankford Rd, Suite 110, Carrollton, TX 75007-5371 | 2006-06-03 |
| 1255972972 | Cy Pain and Rehab Pllc | Clinic/Center | 4541 N Josey Ln Ste 230, Carrollton, TX 75010-4781 | 2019-10-03 |
| 1770022345 | Pi-metrics LLC | Clinic/Center | 2710 N Josey Ln, Suite 301, Carrollton, TX 75007-5400 | 2017-02-15 |
| 1417264045 | United Rehab Inc. | Clinic/Center | 921 Old Newnan Rd, Carrollton, GA 30116-8094 | 2010-09-02 |
| 1114981669 | Southern Therapy Services, Inc. | Clinic/Center | 812 S Park St, Carrollton, GA 30117-4412 | 2006-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336763150 | Esop Rehabilitation, LLC | Clinic/Center | 1699 Highway 124 N Ste 100, Snellville, GA 30078-7921 | 2020-06-08 |
| 1912566811 | Tattnall Hospital Company, LLC | Clinic/Center | 10200 Ford Ave Ste 105, Richmond Hill, GA 31324-8824 | 2019-06-13 |
| 1790289544 | Effingham Rehab Services, LLC | Clinic/Center | 105 E Bacon St, Pembroke, GA 31321 | 2018-03-19 |
| 1457874976 | Effingham Rehab Services, Inc | Clinic/Center | 111 Jazie Dr Ste E, Savannah, GA 31410-1908 | 2017-07-18 |
| 1770006272 | Effingham Rehab Services, Inc | Clinic/Center | 22 W Oglethorpe Ave, Savannah, GA 31401-3702 | 2017-07-18 |
| 1588187090 | Effingham Rehab Services, Inc | Clinic/Center | 475 S Main St Ste B, Hinesville, GA 31313-1365 | 2017-07-18 |
| 1447773908 | Effingham Rehab Services, Inc | Clinic/Center | 2709 Us Highway 17 Ste 2a, Richmond Hill, GA 31324-3795 | 2017-07-17 |
| 1437689288 | Dr. Peggy Marbach Vestibular Rehab Specialist, LLC | Clinic/Center | 6849 Peachtree Dunwoody Road, Building B-4, Suite #100, Sandy Springs, GA 30328-6776 | 2017-06-14 |
| 1699207274 | Vestibular Linc LLC | Clinic/Center | 921 Harmony Rd Ste 2, Eatonton, GA 31024-9618 | 2017-04-01 |
| 1346784113 | Genesis Eldercare Rehabilitation Services LLC | Clinic/Center | 1600 Ballewtown Rd, C/o Blue Ridge Assisted Living, Blue Ridge, GA 30513-5337 | 2016-12-13 |
| Find all providers with the same taxonomy | ||||
| City | CARROLLTON |
| Zip Code | 30117 |
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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.