NPI age
20 years
Enumerated 2006-03-14
● Active Type 2 · Organization
Dynamic Therapy Associates, Inc
Dynamic Therapy Associates, Inc is 1 of 5327 speech-language pathologist organizations in Georgia.
Primary specialty
Speech-Language Pathologist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Clarke
President
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05
How this organization compares
Across 5327 active speech-language pathologist providers in Georgia.
NPI age
20 years
↑ 10 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-03Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
3166 Cherokee St Nw, Suite 101
Kennesaw, GA 301442883
Mailing address
2841 Patches Ct Nw
Kennesaw, GA 301525856
Authorized official
Vicki K Clarke, M.S. CCC-SLP
President
📞 6785214692
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Lucille Nutt, SLP Speech-Language Pathologist NPI 1184791501
Specialties
-
Speech-Language Pathologist PrimaryThe 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (TN) | PR01733450001 | CIGNA VENDOR NO. |
| 01 (GA) | 52754489 | BC/BS PROVIDER NO. |
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 →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.