PEDIATRIC THERAPIES OF SE GA, LLC
NPI 1710346267
Occupational Therapist - Pediatrics in Kingsland, GA

NPI Status: Active since February 12, 2016

Contact Information

1204 HOSPITALITY AVE
SUITE E
KINGSLAND, GA
ZIP 31548
Phone: (912) 996-2069
Fax: (912) 265-0041

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  • Organization
  • Occupational Therapist
  • Pediatrics
  • CLIA Number: 10D2295878
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 12-18-2025

About PEDIATRIC THERAPIES OF SE GA, LLC

This page provides the complete NPI Profile along with additional information for Pediatric Therapies Of Se Ga, Llc, a provider established in Kingsland, Georgia operating as a Occupational Therapist, focusing in pediatrics . The healthcare provider is registered in the NPI registry with number 1710346267 assigned on February 2016. The practitioner's primary taxonomy code is 225XP0200X with license number OT001375 (GA). The provider is registered as an organization and their NPI record was last updated 9 years ago. Pediatric Therapies Of Se Ga, Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Karen Michelle Parks (Owner/operator/provider)

NPI
1710346267
Provider Name
PEDIATRIC THERAPIES OF SE GA, LLC
Entity Type
Organization
Location Address
1204 HOSPITALITY AVE SUITE E KINGSLAND, GA 31548
Location Phone
(912) 996-2069
Location Fax
(912) 265-0041
Mailing Address
5200 SAN JOSE BLVD UNIT 7 JACKSONVILLE, FL 32207
Mailing Phone
(912) 996-2069
Mailing Fax
(912) 265-0041
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-12-2016
Last Update Date
02-03-2017
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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

Occupational Therapist Pediatrics

Taxonomy Code
225XP0200X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
OT001375
License State
GA
Taxonomy Description
Occupational therapists provide services to infants, toddlers and children who have or who are at risk for developmental delays or disabilities. Occupational therapy is concerned with a child's ability to participate in daily life activities or occupations. Occupational therapists use their unique expertise to help children with social-emotional, physical, cognitive, communication, and adaptive behavioral challenges and to help children to be prepared for and perform important learning and school-related activities and to fulfill their rule as students. Through an understanding of the impact of disability, illness, and impairment on a child's development, plan, ability to learn new skills, and overall occupational performance, occupational therapists design interventions that promote healthy development, establish needed skills, and/or modify environments, all in support of participation in daily activities.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

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

KAREN MICHELLE PARKS

Authorized Official Title
OWNER/OPERATOR/PROVIDER
Authorized Official Phone
(912) 996-2069

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
10D2295878
Facility Type
Physician Office
Certificate Effective Date
December 19, 2023
Certificate Expiration Date
December 18, 2025
Laboratory Director
BARBARA ALEXANDER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Pediatric Therapies Of Se Ga, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1710346267, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
1
Doubled → 2
Pos 4
0
Unchanged
Pos 5
3
Doubled → 6
Pos 6
4
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
2
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 3 → 6 6 → 12 → 3 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 2 + 0 + 6 + 4 + 1 + 2 + 2 + 1 + 2 + 24 = 53

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 53 is 60. The difference is the calculated check digit.

60 - 53 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1710346267.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Specialist
1204 HOSPITALITY AVE, SUITE K
KINGSLAND, GA 31548

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710346267, enumerated as an "organization" on February 12, 2016.

The provider is located at 1204 HOSPITALITY AVE SUITE E KINGSLAND, GA 31548 and the phone number is (912) 996-2069.

Occupational Therapist with taxonomy code 225XP0200X and a focus in Pediatrics.