TRAPEZE THERAPY, LLC (NPI# 1790055432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790055432 |
| Entity Type | Organization |
| Organization Name | TRAPEZE THERAPY, LLC |
| Practice Address |
160 Tracy St Suite A Athens GA 30601-1979 |
| Mailing Address |
1141 Thornwood Dr Watkinsville GA 30677-5342 |
| Practice Telephone | 7063403481 |
| Mailing Telephone | 7063403481 |
| Enumeration Date | 2012-01-11 |
| Last Update Date | 2012-05-15 |
| Authorized Official Name | MS. CARLYNN CORLEY KENNA (OCCUPATIONAL THERAPIST / DIRECTOR) |
| Authorized Official Telephone | 7063403481 |
| Authorized Official Credential | MS OTR/L |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
Ambulatory Health Care Facilities |
| Street Address |
160 TRACY ST SUITE A |
| City | ATHENS |
| State | GA |
| Zip Code | 30601-1979 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366790685 | Carlynn Corley Kenna | Occupational Therapist | 160 Tracy St, Suite 6a, Athens, GA 30601-1979 | 2012-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154971679 | Classic City Counseling & Consultation LLC | Psychologist | 159 Oneta St., Unit 1a Suite 7, Athens, GA 30601 | 2019-09-17 |
| 1982172433 | Smith Dental Care of Athens Inc. | Clinic/Center | 801 Us Highway 29 North, Athens, GA 30601 | 2018-11-02 |
| 1356865935 | Elizabeth Anne Price | Pharmacist | 9249 Hwy 29, Athens Community Based Outpatient Va Clinic, Athens, GA 30601 | 2017-07-26 |
| 1386011575 | Janna Barham Cleveland | Nurse Practitioner | 496 Reese Street, Athens, GA 30601 | 2015-08-24 |
| 1295113769 | Brent Dillin Temple | Case Manager/Care Coordinator | 9249 Highway 29 North, Athens, GA 30601 | 2015-05-15 |
| 1356736417 | Brett Magner | Family Medicine | 855 W Broad St Ste 1, Athens, GA 30601 | 2015-04-05 |
| 1619397478 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 700 Highway 29 N, Athens, GA 30601 | 2014-04-21 |
| 1972921021 | Issa Papiss Bagayogo | Psychiatry & Neurology | 297 Prince Avenue Suite 28a, Athens, GA 30601 | 2014-04-04 |
| 1447682083 | Brittany Lynn Lowery | Counselor | 250 Bray Street, Athens, GA 30601 | 2013-08-06 |
| 1417194135 | Carey Kirk | Counselor | 295 Mles St, Athens, GA 30601 | 2009-01-16 |
| Find all providers in zip 30601 | ||||
| Taxonomy Code | 261QD1600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Developmental Disabilities |
| An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942270558 | Advantage Behavioral Health Systems | Clinic/Center | 250 North Ave, Athens, GA 30601-2244 | 2006-01-25 |
| 1700449477 | Advantage Behavioral Health Systems | Clinic/Center | 126 Barrington Dr, Athens, GA 30605-3580 | 2019-04-18 |
| 1376035444 | Advantage Behavioral Health Systems | Clinic/Center | 240 Mitchell Bridge Rd, Athens, GA 30606-2043 | 2018-06-04 |
| 1588716955 | Abhs Supported Emp | Clinic/Center | 250 North Ave, Athens, GA 30601-2244 | 2007-01-17 |
| 1790846681 | Advantage Bhs | Clinic/Center | 250 North Ave, Business Office, Athens, GA 30601-2244 | 2006-12-13 |
| 1861568735 | Advantage Bhs | Clinic/Center | 250 North Ave, Athens, GA 30601-2244 | 2006-11-24 |
| 1255406336 | Advantage Bhs | Clinic/Center | 250 North Ave, Athens, GA 30601-2244 | 2006-11-22 |
| 1497820864 | Advantage Bhs | Clinic/Center | 250 North Ave, Athens, GA 30601-2244 | 2006-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922653534 | Five Star Education Advocacy Group Inc | Clinic/Center | 978 Fellowship Rd, Fairburn, GA 30213-1789 | 2019-08-09 |
| 1205329687 | Advantage Behavioral Health Systems | Clinic/Center | 638 Michael Cir., Monroe, GA 30655 | 2018-06-11 |
| 1215420690 | Advantage Behavioral Health Systems | Clinic/Center | 1801 Prospect Rd., Madison, GA 30650 | 2018-06-11 |
| 1285149955 | Alicia Gordon | Clinic/Center | 132 Carol Cir, Fitzgerald, GA 31750-8128 | 2017-12-04 |
| 1225567597 | Vincentia Paul-constantin | Clinic/Center | 2867 Country House Lane, Buford, GA 30519 | 2017-06-08 |
| 1598158909 | Musik To Grow | Clinic/Center | 1517 Johnson Ferry Rd, Marietta, GA 30062-6493 | 2015-03-09 |
| 1356692800 | Ridgewood Personal Care Home, Inc | Clinic/Center | 1065 Murray Cir Sw, Marietta, GA 30064-3927 | 2012-09-24 |
| 1326316274 | Early/miller Day (now) | Clinic/Center | 302 Damacus Street, Blakely, GA 39823-3346 | 2011-12-07 |
| 1710255773 | Early Miller Personal Support (now) | Clinic/Center | 302 Damascus Street, Blakely, GA 39823-3346 | 2011-12-06 |
| 1790052637 | Terrell Lee (now) | Clinic/Center | 508 Oak St Se, Dawson, GA 39842-2024 | 2011-11-21 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on TRAPEZE THERAPY, 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.