SOUTHERN THERAPY CARROLLTON DME
NPI 1487838066
Clinic/Center - Rehabilitation in Carrollton, GA

Active since December 19, 2007
812 S PARK ST, CARROLLTON, GA 30117(770) 834-7436(770) 930-5954 Get Directions Write a Review

NPPES record last updated: September 18, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center
  • Rehabilitation

About SOUTHERN THERAPY CARROLLTON DME

This page provides the complete NPI Profile along with additional information for Southern Therapy Carrollton Dme, a provider established in Carrollton, Georgia operating as a Clinic/center, focusing in rehabilitation . The healthcare provider is registered in the NPI registry with number 1487838066 assigned on December 2007. The practitioner's primary taxonomy code is 261QR0400X. The provider is registered as an organization and their NPI record was last updated 17 years ago. The provider's other name is Southern Therapy Carrollton Dme. The authorized official of this NPI record is Penny Kenerly M.ed. (Chief Operating Officer)

NPI
1487838066 Verify this NPI
Provider Legal Name
SOUTHERN THERAPY SERVICES, INC
Other Organization Name
SOUTHERN THERAPY CARROLLTON DME
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
812 S PARK ST CARROLLTON, GA 30117
Location Phone
(770) 834-7436
Location Fax
(770) 930-5954
Mailing Address
812 S PARK ST CARROLLTON, GA 30117
Mailing Phone
(770) 834-7436
Mailing Fax
(770) 930-5954
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
12-19-2007
Last Update Date
09-18-2009
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Rehabilitation

Taxonomy Code
261QR0400X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

PENNY KENERLY M.ED.

Authorized Official Title
CHIEF OPERATING OFFICER
Authorized Official Phone
(770) 832-2484

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
4492740001MEDICARE NSC (07)GA 

Reviews for SOUTHERN THERAPY CARROLLTON DME

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Occupational Therapist
812 S PARK ST
CARROLLTON, GA 30117
Clinic/Center (Rehabilitation)
812 S PARK ST
CARROLLTON, GA 30117
Physical Therapist
812 S PARK ST
CARROLLTON, GA 30117
Physical Therapist
812 S PARK ST
CARROLLTON, GA 30117
Occupational Therapist
812 S PARK ST
CARROLLTON, GA 30117
Physical Therapist
812 S PARK ST
CARROLLTON, GA 30117
Physical Therapist
812 S PARK ST
CARROLLTON, GA 30117
Physical Therapist
812 S PARK ST
CARROLLTON, GA 30117
Occupational Therapist
812 S PARK ST
CARROLLTON, GA 30117
Physical Therapist
812 S PARK ST
CARROLLTON, GA 30117
Occupational Therapist
812 S PARK ST
CARROLLTON, GA 30117
Physical Therapist
812 S PARK ST
CARROLLTON, GA 30117
Physical Therapist
812 S PARK ST
CARROLLTON, GA 30117
Physical Therapist
812 S PARK ST
CARROLLTON, GA 30117
Physical Therapist
812 S PARK ST
CARROLLTON, GA 30117
Specialist/Technologist (Athletic Trainer)
812 S PARK ST
CARROLLTON, GA 30117
Durable Medical Equipment & Medical Supplies
812 S PARK ST
CARROLLTON, GA 30117
Occupational Therapist
812 S PARK ST
CARROLLTON, GA 30117
Physical Therapist
812 S PARK ST
CARROLLTON, GA 30117
Physical Therapist
812 S PARK ST
CARROLLTON, GA 30117

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1487838066, enumerated as an "organization" on December 19, 2007.

The provider is located at 812 S PARK ST CARROLLTON, GA 30117 and the phone number is (770) 834-7436.

Clinic/Center with taxonomy code 261QR0400X and a focus in Rehabilitation.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.