NIMBLE KIDS LLC (NPI# 1982937223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982937223 |
| Entity Type | Organization |
| Organization Name | NIMBLE KIDS LLC |
| Other Organization Name | COMPREHENSIVE THERAPY CHILDREN'S CENTER |
| Practice Address |
200 Riverstone Dr Suite B Canton GA 30114-5256 |
| Practice Telephone | 7703457796 |
| Practice Fax Number | 7704793471 |
| Mailing Telephone | 7703457796 |
| Mailing Fax Number | 7704793471 |
| Enumeration Date | 2009-09-17 |
| Last Update Date | 2012-09-28 |
| Authorized Official Name | MR. JOHN JAMES ROSS JR. (OWNER) |
| Authorized Official Telephone | 7703457796 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225XP0200X |
Occupational Therapist Specialization: Pediatrics |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225X00000X | Occupational Therapist | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | |
| Y | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 050405667A | 05 |
| Other Name | Type Code |
|---|---|
| Comprehensive Therapy Children's Center | Doing Business As Name - Organization |
| Street Address |
200 RIVERSTONE DR SUITE B |
| City | CANTON |
| State | GA |
| Zip Code | 30114-5256 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073880316 | Stephanie Nicole Post | Speech-Language Pathologist | 200 Riverstone Dr, Canton, GA 30114-5256 | 2011-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619516093 | Wickshire Canton Opco LLC | Assisted Living Facility | 125 Riverstone Terrace, Canton, GA 30114 | 2020-01-02 |
| 1154803583 | Alixandra Nicole Flournoy | Physical Therapist | 131 Holly Street, Canton, GA 30114 | 2018-09-01 |
| 1588157341 | Provident Group - Canton Cove Properties LLC | Alzheimer Center (Dementia Center) | 1100 Reinhardt College Parkway, Canton, GA 30114 | 2018-06-07 |
| 1003233107 | Heartland Dental Care of Georgia | Dentist | 3237 Sixes Rd, Canton, GA 30114 | 2014-03-26 |
| 1730510959 | Joseph Optical | Eyewear Supplier (Equipment, not the service) | 1455 Riverstone Pkwy Suite 110, Canton, GA 30114 | 2013-12-13 |
| 1629313036 | Ramona Morton Rasmussen | Occupational Therapist | 200 Riverstone Drive, Suite B, Canton, GA 30114 | 2012-12-11 |
| 1902154875 | Yong Qiao Luo | Acupuncturist | 200 Oakside Lane, Suite D, Canton, GA 30114 | 2012-08-26 |
| 1215294350 | Christina Lynn Hernandez | Pediatrics | 1558 Riverstone Pkwy Ste 100, Canton, GA 30114 | 2012-04-13 |
| 1558638981 | Stephen E Byrd | Counselor | 191 Lamar Haley Pkwy., Canton, GA 30114 | 2011-11-30 |
| 1073807855 | Sheri Sullins Buckley | Nurse Practitioner | 120 Oakside Ct Ste H, Canton, GA 30114 | 2011-06-08 |
| Find all providers in zip 30114 | ||||
| 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 |
|---|---|---|---|---|
| 1760096853 | Chelsea Marie Swadling | Speech-Language Pathologist | 5838 Granby Ln, Canton, MI 48187-0047 | 2020-09-04 |
| 1497364806 | Amanda Arbogast | Speech-Language Pathologist | 610 Royal Crest Court, Canton, GA 30115 | 2020-07-31 |
| 1255805339 | Patricia Dimaria | Speech-Language Pathologist | 45707 Morningside Dr, Canton, MI 48187-5448 | 2019-01-11 |
| 1497220529 | Sherry Carey | Speech-Language Pathologist | 43511 Cherrywood Ln, Canton, MI 48188-5296 | 2018-10-04 |
| 1184107229 | Christina L Liming | Speech-Language Pathologist | 12875 Cumming Hwy Ste 104, Canton, GA 30115-4885 | 2018-09-14 |
| 1023590700 | Alyssa Louise Miller | Speech-Language Pathologist | 800 Market Ave N # Set1560, Canton, OH 44702-1083 | 2018-08-30 |
| 1265913230 | Megan Kasper | Speech-Language Pathologist | 6879 Kings Mill Dr, Canton, MI 48187-5479 | 2018-08-27 |
| 1194230359 | Amy Jennifer Parnell | Speech-Language Pathologist | 1100 Reinhardt College Pkwy, Canton, GA 30114-2011 | 2017-12-11 |
| 1760901722 | Alayna Marie Chlad | Speech-Language Pathologist | 5138 Susetta Ave Nw, Canton, OH 44709-4878 | 2017-09-11 |
| 1962928101 | Terese Lynn Falk | Speech-Language Pathologist | 700 Old West Vine St, Canton, IL 61520-8754 | 2017-08-18 |
| Find all providers in CANTON | ||||
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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.