Kids Creek Therapy is a
Clinic/center - Multi-specialty based in Suwanee, Georgia. Kids Creek Therapy is licensed to practice in * (Not Available) (license number ) and their current practice location is
4055 Johns Creek Pkwy Ste A, Suwanee, Georgia. It can be reached at their office (for appointments etc.) via phone at
(770) 888-5221.
NPI number for Kids Creek Therapy is 1700983772 and their current mailing address is 4055 Johns Creek Pkwy Ste A, Suwanee, Georgia. Kids Creek Therapy
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1700983772.
Healthcare Provider's Profile
| Full Name | Kids Creek Therapy |
|---|
| Type | Facility |
|---|
| Speciality | Clinic/center - Multi-specialty |
|---|
| Location | 4055 Johns Creek Pkwy Ste A, Suwanee, Georgia |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1700983772
- Provider Enumeration Date: 09/20/2006
- Last Update Date: 10/02/2023
Medical Identifiers
Medical identifiers for Kids Creek Therapy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1700983772 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | PT008827 (Georgia) | Secondary |
| 225X00000X | Occupational Therapist | OT003747 (Georgia) | Secondary |
| 225X00000X | Occupational Therapist | OT001067 (Georgia) | Secondary |
| 225X00000X | Occupational Therapist | OT003625 (Georgia) | Secondary |
| 225X00000X | Occupational Therapist | OT001466 (Georgia) | Secondary |
| 103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
| 106E00000X | Assistant Behavior Analyst | (* (Not Available)) | Secondary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Secondary |
| 225100000X | Physical Therapist | PT008420 (Georgia) | Secondary |
| 235Z00000X | Speech-language Pathologist | SLP004267 (Georgia) | Secondary |
| 235Z00000X | Speech-language Pathologist | SLP005105 (Georgia) | Secondary |
| 235Z00000X | Speech-language Pathologist | SLP005895 (Georgia) | Secondary |
| 235Z00000X | Speech-language Pathologist | SLP006187 (Georgia) | Secondary |
| 235Z00000X | Speech-language Pathologist | SLP004972 (Georgia) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kids Creek Therapy is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kids Creek Therapy
4055 Johns Creek Pkwy Ste A,
Suwanee, GA 30024-1299
Ph: (770) 888-5221 | Kids Creek Therapy
4055 Johns Creek Pkwy Ste A,
Suwanee, GA 30024-1299
Ph: (770) 888-5221 |
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