INTENSIVE THERAPY CENTER OF GEORGIA, INC. (NPI# 1134459175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134459175 |
| Entity Type | Organization |
| Organization Name | INTENSIVE THERAPY CENTER OF GEORGIA, INC. |
| Practice Address |
545 Old Norcross Rd Suite 100 Lawrenceville GA 30046-3389 |
| Practice Telephone | 6783772833 |
| Practice Fax Number | 6783772882 |
| Mailing Telephone | 6783772833 |
| Mailing Fax Number | 6783772882 |
| Enumeration Date | 2010-01-13 |
| Last Update Date | 2010-01-13 |
| Authorized Official Name | AMIE LOCICERO (PRESIDENT) |
| Authorized Official Telephone | 6783772833 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225XP0200X |
Occupational Therapist Specialization: Pediatrics |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
545 OLD NORCROSS RD SUITE 100 |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30046-3389 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104818764 | Ivory Myrick Bryant | Speech-Language Pathologist | 545 Old Norcross Rd, Suite 100, Lawrenceville, GA 30046-3389 | 2005-08-19 |
| 1134772502 | Alexandra Juliet Bass | Speech-Language Pathologist | 545 Old Norcross Rd, Lawrenceville, GA 30046-3389 | 2019-07-24 |
| 1689133985 | Nichole Hammer | Speech-Language Pathologist | 545 Old Norcross Rd, Lawrenceville, GA 30046-3389 | 2019-03-16 |
| 1861906075 | Jessica Okpara | Nurse Practitioner | 545 Old Norcross Rd, Lawrenceville, GA 30046-3389 | 2017-11-27 |
| 1568903722 | Adaky Chidundo Taylor | Physician Assistant | 545 Old Norcross Rd, #300, Lawrenceville, GA 30046-3389 | 2017-03-20 |
| 1538617543 | Nmamah K Sinlah | Speech-Language Pathologist | 545 Old Norcross Rd, Suite 100, Lawrenceville, GA 30046-3389 | 2016-09-19 |
| 1124574025 | Sarah Elisabeth Jones | Speech-Language Pathologist | 545 Old Norcross Rd, Suite 200, Lawrenceville, GA 30046-3389 | 2016-08-30 |
| 1528418654 | Pamela Willis | Speech-Language Pathologist | 545 Old Norcross Rd, Suite 100, Lawrenceville, GA 30046-3389 | 2016-06-20 |
| 1578912853 | Matthew William Nagle | Physical Therapist | 545 Old Norcross Rd, Suite 100, Lawrenceville, GA 30046-3389 | 2016-06-08 |
| 1417304114 | Henley Slepyan | Speech-Language Pathologist | 545 Old Norcross Rd, Suite 100, Lawrenceville, GA 30046-3389 | 2016-05-23 |
| Find all providers in the same location | ||||
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| 1285259846 | Mesun Health Services, Inc | Clinical Nurse Specialist | 88 Johnson Rd Building # 1-b, Lawrenceville, GA 30046 | 2020-06-10 |
| 1215550264 | Mesun Health Services, Inc | Skilled Nursing Facility | 88 Johnson Rd. Building #2, Lawrenceville, GA 30046 | 2020-05-26 |
| 1306499785 | Bryan Acosta | Chiropractor | 471 Scenic Hwy South, Lawrenceville, GA 30046 | 2019-07-24 |
| 1205308616 | Belle Lumiere Cosmetics LLC | Dermatology | 753 Old Norcross Road, Lawrenceville, GA 30046 | 2018-12-24 |
| 1548730179 | Alexis Nicole Robinson | Nurse Anesthetist, Certified Registered | 1000 Medical Center Boulevard, Lawrenceville, GA 30046 | 2018-11-27 |
| 1679060388 | Christopher Puckett | Student in an Organized Health Care Education/Training Program | 665 Duluth Hwy Suite 501, Lawrenceville, GA 30046 | 2018-04-18 |
| 1457851255 | Advanced Urology Institute of Georgia | Urology | 501 Crown Point Way, Lawrenceville, GA 30046 | 2018-02-19 |
| 1013447044 | Pharmacy Investments of Lawrenceville, LLC | Pharmacy | 738 Old Norcross Road, Ste A, Lawrenceville, GA 30046 | 2017-06-13 |
| 1225577000 | Priority Housecalls LLC | Clinic/Center | 225 Scenic Hwy, Ste 200, Lawrenceville, GA 30046 | 2017-02-14 |
| Find all providers in zip 30046 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982809174 | Erin Ashley Cruttenden | Physical Therapist | 545 Old Norcross Road, Suite 100, Lawrenceville, GA 30046-3099 | 2007-06-18 |
| 1861550295 | Carin Ashman | Physical Therapist | 318 West Pike St., Suite 104, Lawrenceville, GA 30045 | 2006-12-05 |
| 1518054279 | Aimee Lynn Eblen | Physical Therapist | 318 W Pike St, Suite 104, Lawrenceville, GA 30045-3234 | 2006-10-06 |
| 1972103869 | Sydney Lewis Askew | Physical Therapist | 545 Old Norcross Rd Ste 100, Lawrenceville, GA 30046-3390 | 2020-10-29 |
| 1477108439 | Jessika Puglisi | Physical Therapist | 545 Old Norcross Rd Ste 100, Lawrenceville, GA 30046-3390 | 2019-08-07 |
| 1831643493 | Vivian Albert | Physical Therapist | 545 Old Norcross Rd Ste 100, Lawrenceville, GA 30046-3390 | 2016-08-11 |
| 1720497043 | Katherine Stroer Benkeser | Physical Therapist | 545 Old Norcross Rd, Suite 100, Lawrenceville, GA 30046-3389 | 2014-08-12 |
| 1275965725 | Catherine Oddi Lachance | Physical Therapist | 1509 Atkinson Rd, Suite 1100, Lawrenceville, GA 30043-7986 | 2013-08-07 |
| 1922444777 | Julianna Ryan | Physical Therapist | 545 Old Norcross Rd Ste 100, Lawrenceville, GA 30046-3390 | 2013-05-20 |
| 1508098120 | Sarah Meyer | Physical Therapist | 545 Old Norcross Rd, Suite 100, Lawrenceville, GA 30046-3389 | 2009-08-14 |
| Find all providers in LAWRENCEVILLE | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30046 |
Please comment or provide details below to improve the information on INTENSIVE THERAPY CENTER OF GEORGIA, INC..
| 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.