THERAPY TRAILS, LLC (NPI# 1760993497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760993497 |
| Entity Type | Organization |
| Organization Name | THERAPY TRAILS, LLC |
| Practice Address |
5176 Wrightsboro Rd Grovetown GA 30813-2802 |
| Practice Telephone | 7068423330 |
| Practice Fax Number | 7064261168 |
| Mailing Telephone | 7068423330 |
| Enumeration Date | 2017-10-20 |
| Last Update Date | 2019-08-21 |
| Authorized Official Name | ELIZABETH PEAVY (SPEECH-LANGUAGE PATHOLOGIST) |
| Authorized Official Telephone | 4782300431 |
| Authorized Official Credential | CCC-SLP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities | ||
| N | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities | ||
| Y | 235Z00000X | Speech-Language Pathologist | SLP008920 | GA | Speech, Language and Hearing Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 105 Beallwood Dr, Harlem, GA 308144944 | 4782300431 | |
| 536 Grand Slam Dr, Evans, GA 30809 | 7068423330 |
| Street Address |
5176 WRIGHTSBORO RD |
| City | GROVETOWN |
| State | GA |
| Zip Code | 30813-2802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093107435 | Alexander Dental Associates PC | Dentist | 5176 Wrightsboro Rd, Grovetown, GA 30813-2802 | 2015-02-23 |
| 1770125635 | Sarah Rutledge | Physical Therapist | 5176 Wrightsboro Rd, Grovetown, GA 30813-2802 | 2019-10-11 |
| 1427608181 | Haley Thielemier | Occupational Therapy Assistant | 5176 Wrightsboro Rd, Grovetown, GA 30813-2802 | 2019-09-16 |
| 1205481132 | Lindsey Turner | Physical Therapist | 5176 Wrightsboro Rd, Grovetown, GA 30813-2802 | 2019-08-07 |
| 1902465800 | Kirsten Williams | Speech-Language Pathologist | 5176 Wrightsboro Rd, Grovetown, GA 30813-2802 | 2019-06-13 |
| 1427616309 | Kaysi Raborn | Speech-Language Pathologist | 5176 Wrightsboro Rd, Grovetown, GA 30813-2802 | 2019-06-05 |
| 1144713488 | Krysta Lynn Stokes | Occupational Therapy Assistant | 5176 Wrightsboro Rd, Grovetown, GA 30813-2802 | 2018-06-12 |
| 1548752652 | Anna Brooke Vega | Student in an Organized Health Care Education/Training Program | 5176 Wrightsboro Rd, Grovetown, GA 30813-2802 | 2018-06-04 |
| 1902342090 | Jaclyn Ashley Combs | Speech-Language Pathologist | 5176 Wrightsboro Rd, Grovetown, GA 30813-2802 | 2017-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598276412 | Georgia Dental Professionals, PC | Dentist | 9596 Bentley Dr., Grovetown, GA 30813 | 2017-10-18 |
| 1558891895 | Jennifer M Humm | Dentist | 250 Merridian Drive, Grovetown, GA 30813 | 2017-06-19 |
| 1710335443 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 435 Lewiston Rd, Grovetown, GA 30813 | 2016-06-03 |
| 1558727214 | Lynda R Green | Counselor | 426 Northrop Place, Grovetown, GA 30813 | 2016-01-11 |
| 1689002610 | Patriots Park Dental, LLC | Dentist | 701 Devika Drive, Ste 10, Grovetown, GA 30813 | 2013-10-30 |
| 1255680096 | David Schulte Jr. | Internal Medicine | 925 Branch Ct Ste 2101, Grovetown, GA 30813 | 2012-09-07 |
| 1548519481 | Ashley Roberts Saunders | Pharmacist | 869 Horizon South Parkway, Grovetown, GA 30813 | 2012-09-06 |
| 1447569694 | Wallace Allen Partridge Jr. | Pharmacist | 5104 Wrightsboro Rd., Fred's Pharmacy 1699, Grovetown, GA 30813 | 2010-10-05 |
| 1497908149 | Sharon M Blair | Registered Nurse | 7640 Pleasantville Way, Grovetown, GA 30813 | 2008-10-28 |
| 1710160791 | Rebecca Meek | Nurse Practitioner | 469 Lewiston Rd, Grovetown, GA 30813 | 2007-12-12 |
| Find all providers in zip 30813 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326555186 | Breakthrough Communication and Wellness, LLC | Speech-Language Pathologist | 2653 Waites Dr, Grovetown, GA 30813-5955 | 2018-01-02 |
| 1538324504 | The Tanksley Crawford Group | Speech-Language Pathologist | 503 Tyler Woods Ct, Grovetown, GA 30813-6303 | 2008-07-18 |
| 1235339086 | Brinson Speech Therapy&accent Reduction | Speech-Language Pathologist | 1325 Highwoods Pass, Grovetown, GA 30813-3994 | 2007-07-19 |
| 1902017791 | Cindy Marie O'neal | Speech-Language Pathologist | 314 Brentford Ave, Grovetown, GA 30813-4261 | 2007-05-24 |
| 1356477061 | Louise A Holbert | Speech-Language Pathologist | 2011 Darwood Dr, Grovetown, GA 30813-4895 | 2007-02-26 |
| 1164599312 | Leanne W Mcgowan | Speech-Language Pathologist | 444 Park 20 W, Grovetown, GA 30813-3216 | 2006-11-30 |
| 1326127671 | Jacqueline D. Busby | Speech-Language Pathologist | 1851 Long Creek Fls, Grovetown, GA 30813-5824 | 2006-11-06 |
| 1457913048 | Speech Therapy Healthcare LLC | Speech-Language Pathologist | 2011 Darwood Dr, Grovetown, GA 30813-4895 | 2019-07-03 |
| 1902465800 | Kirsten Williams | Speech-Language Pathologist | 5176 Wrightsboro Rd, Grovetown, GA 30813-2802 | 2019-06-13 |
| 1427616309 | Kaysi Raborn | Speech-Language Pathologist | 5176 Wrightsboro Rd, Grovetown, GA 30813-2802 | 2019-06-05 |
| Find all providers in GROVETOWN | ||||
Please comment or provide details below to improve the information on THERAPY TRAILS, LLC.
| 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.