DUCKTAILS PEDIATRIC THERAPY AND WELLNESS INC - NPI 1558477695

Q: What is Ducktails Pediatric Therapy And Wellness Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.

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About Ducktails Pediatric Therapy And Wellness Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DUCKTAILS PEDIATRIC THERAPY AND WELLNESS INC (NPI 1558477695) is a healthcare organization registered as a physical therapy in Evans, Georgia and active in the NPI registry since August 2006. The organization maintains a secondary practice location in Belvedere and lists Amy Ross, Owner / Otrl, as its authorized official.

NPPES Registry Identity

NPI1558477695

Entity TypeOrganization

Primary Taxonomy261QP2000X

Legal Business NameDUCKTAILS PEDIATRIC THERAPY AND WELLNESS INC

Location Address568 BLUE RIDGE DREvans, GA 30809-3604

Mailing Address568 Blue Ridge DrEvans, GA 30809-3604 · (706) 364-5262 · Fax (706) 364-5263

Phone(706) 364-5262

Fax(706) 364-5263

Organization SubpartNo

Authorized OfficialAmy RossOwner / Otrl · (706) 364-5262

Enumeration DateAugust 22, 2006

Last NPPES UpdateJune 18, 20253 updates tracked since enumeration

NPPES CertifiedJune 18, 2025

✔ NPI 1558477695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Physical TherapyAmbulatory Health Care Facilities

Taxonomy Code261QP2000X

Licenses✔ Licensed in GA · PT004118✔ Licensed in GA · PT008564✔ Licensed in GA · PT004423

Definition

An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.

Also ListedOccupational Therapist · PediatricsTaxonomy 225XP0200X · License 003593 (GA)

568 BLUE RIDGE DR, Evans, GA 30809

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Secondary Practice Location 1

Location 1421 Edgefield Rd Rm B117-5Belvedere, SC 29841-2472 · Phone (706) 364-5262

Other Identifiers 2

Medicaid000717274CGA

Medicaid000767456CGA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MACKENZIE ROSAMOND COLLENTINE M.S. CF-SLP

Speech-Language Pathologist