NPI age
18 years
Enumerated 2007-05-30
● Active Type 2 · Organization
Black'S Pediatric Therapy, Inc.
Black'S Pediatric Therapy, Inc. is 1 of 516 occupational therapist organizations in Georgia.
Primary specialty
Occupational Therapist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Black
Owner
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05
How this organization compares
Across 516 active occupational therapist providers in Georgia.
NPI age
18 years
↑ 6 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-05Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
4502 Summer Gate Ct.
Gainesville, GA 30506
Mailing address
4502 Summer Gate Ct.
Gainesville, GA 30506
Authorized official
Tina Black
Owner
📞 7703785986
Specialties
-
Occupational Therapist PrimaryOccupational therapists provide services to infants, toddlers and children who have or who are at risk for developmental delays or disabilities. Occupational therapy is concerned with a child's ability to participate in daily life...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 10038361 | AMERIGROUP- TINA |
| 01 (GA) | 307327 | TINA- WELLCARE |
| 01 (GA) | 10047944 | AMERIGROUP-BETH CHAMBERS |
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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