NPI age
19 years
Enumerated 2006-08-22
● Active Type 2 · Organization
Ducktails Pediatric Therapy And Wellness Inc
Ducktails Pediatric Therapy And Wellness Inc is 1 of 627 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Plus 1 secondary
Practice locations
2
1 secondary on file
Status
Active
No deactivations on record
Authorized official
Ross
Owner / Otrl
Last NPPES update
2025-06-18
Source: monthly bulk 2026-05
How this organization compares
Across 627 active clinic/center providers in Georgia.
NPI age
19 years
↑ 7 yr above median
Practice locations
2
1 secondary on file
Subspecialties
1
In the 27% of peers with subspecialties
NPI lifetime · 2006 → 2026
2006-08Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
568 Blue Ridge Dr
Evans, GA 308093604
Mailing address
568 Blue Ridge Dr
Evans, GA 308093604
Additional practice locations
1 secondary location on file with NPPES.
Location 2
421 Edgefield Rd Rm B117-5
Belvedere, SC 298412472
Authorized official
Amy Ross
Owner / Otrl
📞 7063645262
Individual providers at this organization
11 individual providers on file at this primary practice address.
- Karen Boudet, MSP. CF-SLP Speech-Language Pathologist NPI 1326485277
- Kristina Carter, OTR/L Occupational Therapist NPI 1629646716
- MacKenzie Collentine, M.S. CF-SLP Speech-Language Pathologist NPI 1063299303
- Elizabeth Doris Speech-Language Pathologist NPI 1740864933
- Hannah Ferguson, M.ED. Speech-Language Pathologist NPI 1083038673
- Carley Holley Speech-Language Pathologist NPI 1952115073
- Tanya Kobek, M.S. CCC-SLP Speech-Language Pathologist NPI 1265753362
- Cassidy McHenry, OTR/L Occupational Therapist NPI 1699667352
- Olivia Nowak, OTD Occupational Therapist NPI 1407341555
- Amy Ross, OTR/L Occupational Therapist NPI 1972896058
- Azhare Thompkins Speech-Language Pathologist NPI 1437094430
Specialties
-
Clinic/Center PrimaryAn entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and...
-
Occupational TherapistOccupational 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 |
|---|---|---|
| 05 (GA) | 000717274C | |
| 05 (GA) | 000767456C |
Practice context
Multi-provider organization. 11 individual providers on file at this primary address. Plus 1 secondary practice location.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
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