NPI age
10 years
Enumerated 2016-02-12
● Active Type 2 · Organization
Pediatric Therapies Of Se Ga, Llc
Pediatric Therapies Of Se Ga, Llc 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
Parks
Owner/operator/provider
Last NPPES update
2017-02-03
Source: monthly bulk 2026-05
How this organization compares
Across 516 active occupational therapist providers in Georgia.
NPI age
10 years
↓ 2 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2016 → 2026
2016-02Enumerated in NPPES
2016
2026
Where they practice
Primary practice location
1204 Hospitality Ave, Suite E
Kingsland, GA 315486810
Mailing address
5200 San Jose Blvd, Unit 7
Jacksonville, FL 322071905
Authorized official
Karen Michelle Parks
Owner/operator/provider
📞 9129962069
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Audrey St. John, MMP, CNMT, LMT Specialist NPI 1083628986
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...
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.