# THERAPYLAND LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710392055
- **Authorized official:** THANE BROOKS (PRESIDENT)
- **Authorized official phone:** (678) 648-7644

## Contact information

- **Practice address:** 6505 SHILOH RD, SUITE 100, ALPHARETTA, GA 30005-8405
- **Practice address phone:** (678) 648-7644
- **Practice address fax:** (678) 648-7479
- **Mailing address:** 6505 SHILOH RD, SUITE 100, ALPHARETTA, GA 30005-8405
- **Mailing address phone:** (678) 648-7644
- **Mailing address fax:** (678) 648-7479

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103K00000X | Behavior Analyst | 1062816 | GA | Yes |
| 2251P0200X | Pediatric Physical Therapist | — | NULL | — |
| 2251P0200X | Pediatric Physical Therapist | — | — | — |
| 225XP0200X | Pediatric Occupational Therapist | — | NULL | — |
| 225XP0200X | Pediatric Occupational Therapist | — | — | — |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |

## Other

- **Enumeration date:** 06/25/2014
- **Last updated:** 03/11/2015