KIDDOS' CLUBHOUSE
NPI 1790747962
Occupational Therapist - Pediatrics in Alpharetta, GA

NPI Status: Active since April 04, 2006

Contact Information

11539 PARK WOODS CIR
SUITE 502
ALPHARETTA, GA
ZIP 30005
Phone: (678) 527-3224
Fax: (678) 366-5886

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  • Organization
  • Occupational Therapist
  • Pediatrics
  • Accepts Insurance

About KIDDOS' CLUBHOUSE

This page provides the complete NPI Profile along with additional information for Kiddos' Clubhouse, a provider established in Alpharetta, Georgia operating as a Occupational Therapist, focusing in pediatrics . The healthcare provider is registered in the NPI registry with number 1790747962 assigned on April 2006. The practitioner's primary taxonomy code is 225XP0200X with license number OT002774 (GA). The provider is registered as an organization and their NPI record was last updated 5 years ago. Kiddos' Clubhouse operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Kiddos' Clubhouse. The authorized official of this NPI record is Brett Russell Devore Ms, Otr/l (Owner)

NPI
1790747962
Provider Legal Name
TOTS, INC.
Other Organization Name
KIDDOS' CLUBHOUSE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
11539 PARK WOODS CIR SUITE 502 ALPHARETTA, GA 30005
Location Phone
(678) 527-3224
Location Fax
(678) 366-5886
Mailing Address
11539 PARK WOODS CIR SUITE 502 ALPHARETTA, GA 30005
Mailing Phone
(678) 527-3224
Mailing Fax
(678) 366-5886
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-04-2006
Last Update Date
08-22-2020
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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.
OT002774
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)

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.

Insurance Plans Accepted

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

  • Clear Silver - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Silver - HMO
  • Elite Silver + Vision + Adult Dental - HMO
  • Enhanced Diabetes Care Silver with $0 Drug Options - HMO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Elite Silver - EPO
  • Elite Silver + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Clear Silver with $0 Insulin Options - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Gold with Atrium Health - HMO
  • Complete Gold with Atrium Health + Vision + Adult Dental - HMO
  • Complete Silver with Atrium Health - HMO
  • Complete Silver with Atrium Health + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Bronze with Atrium Health - HMO
  • Clear Silver - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Standard Expanded Bronze WellCare - PPO
  • Standard Gold WellCare - PPO
  • Standard Silver WellCare - PPO

*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

BRETT RUSSELL DEVORE MS, OTR/L

Authorized Official Title
OWNER
Authorized Official Phone
(678) 527-3224

Reviews for KIDDOS' CLUBHOUSE

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1790747962
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2718014414912
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 8 + 0 + 1 + 4 + 4 + 1 + 4 + 9 + 1 + 2 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1790747962 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 14 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1699836502 BRETT R DEVORE MS, OTRL
Individual
Occupational Therapist (Pediatrics)11539 PARK WOODS CIR SUITE 502
ALPHARETTA, GA 30005
(678) 527-3224
1972665537 DAWN WILLOUGHBY MS, CCCSLP
Individual
Speech-Language Pathologist11539 PARK WOODS CIR SUITE 502
ALPHARETTA, GA 30005
(678) 527-3224
1811159106 TARA SANSONE WILSON DPT
Individual
Physical Medicine & Rehabilitation11539 PARK WOODS CIR SUITE 502
ALPHARETTA, GA 30005
(678) 527-3224
1114179769 ANDREA COTTOS MS/OTRL
Individual
Occupational Therapist11539 PARK WOODS CIR STE 502
ALPHARETTA, GA 30005
(678) 527-3224
1932346855 MARY JESSICA MARTIN MS, OTR/L
Individual
Occupational Therapist11539 PARK WOODS CIR SUITE 502
ALPHARETTA, GA 30005
(678) 527-3224
1831322270 STACY LYNN LYONS OTR/L
Individual
Occupational Therapist (Pediatrics)11539 PARK WOODS CIR SUITE 502
ALPHARETTA, GA 30005
(678) 527-3224
1427389162DR. MICHAEL DELLARIA D.C.
Individual
Chiropractor (Internist)11539 PARK WOODS CIR SUITE 602
ALPHARETTA, GA 30005
(678) 366-0072
1942647102 JENNY LAZANSKY PT
Individual
Physical Therapist (Pediatrics)11539 PARK WOODS CIR SUITE 502
ALPHARETTA, GA 30005
(678) 527-3224
1720388994MRS. LINDSAY MARIE VAN DEN HEEVER OTR/L
Individual
Occupational Therapist (Pediatrics)11539 PARK WOODS CIR SUIET 502
ALPHARETTA, GA 30005
(678) 527-3224
1235341165MRS. MANDY M BUFFINGTON SLP
Individual
Speech-Language Pathologist11539 PARK WOODS CIR SUITE 502
ALPHARETTA, GA 30005
(678) 527-3224
1154739902MRS. BRITTANY NICOLE KARINGADA SLP
Individual
Speech-Language Pathologist11539 PARK WOODS CIR SUITE 502
ALPHARETTA, GA 30005
(678) 527-3224
1558763367 CARLA MICHELLE HEINSCH OTR/L
Individual
Occupational Therapist11539 PARK WOODS CIR SUITE 502
ALPHARETTA, GA 30005
(678) 527-3224
1366753220MRS. DANIELLE MARIE SHIVERICK MS, OTR/L
Individual
Occupational Therapist11539 PARK WOODS CIR SUITE 502
ALPHARETTA, GA 30005
(678) 527-3224
1700245917MRS. MELISA SMITH PT, DPT
Individual
Physical Therapist11539 PARK WOODS CIR SUITE 502
ALPHARETTA, GA 30005
(678) 527-3224

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790747962, enumerated in the NPI registry as an "organization" on April 04, 2006

The provider is located at 11539 Park Woods Cir Suite 502 Alpharetta, Ga 30005 and the phone number is (678) 527-3224

This medical organization specializes in Occupational Therapist with taxonomy code 225XP0200X with a focus in Pediatrics

The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on April 04, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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