Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
NIMBLE KIDS LLC
Active
Organization
NIMBLE KIDS LLC
Active
Other names
Comprehensive Therapy Children's Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN JAMES ROSS JR. (OWNER)
(770) 345-7796
Entity
Organization
Contact information
Practice address
200 RIVERSTONE DR, SUITE B, CANTON, GA 30114-5256
(770) 345-7796
(770) 479-3471
Mailing address
200 RIVERSTONE DR, SUITE B, CANTON, GA 30114-5256
(770) 345-7796
(770) 479-3471
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
—
—
225X00000X
Occupational Therapist
—
GA
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
050405667A
—
GA
Enumeration date
09/17/2009
Last updated
09/28/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up