Provider Demographics
NPI:1801368675
Name:ACHIEVE OCCUPATIONAL THERAPY SOLUTIONS, INC.
Entity Type:Organization
Organization Name:ACHIEVE OCCUPATIONAL THERAPY SOLUTIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NORMANIE
Authorized Official - Middle Name:MCKENZIE
Authorized Official - Last Name:RICKS
Authorized Official - Suffix:
Authorized Official - Credentials:MS, OTR/L
Authorized Official - Phone:678-386-3172
Mailing Address - Street 1:2265 ROSWELL RD STE 100
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30062-2980
Mailing Address - Country:US
Mailing Address - Phone:770-509-2232
Mailing Address - Fax:
Practice Address - Street 1:2265 ROSWELL RD STE 100
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30062-2980
Practice Address - Country:US
Practice Address - Phone:770-509-2232
Practice Address - Fax:770-509-2233
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-18
Last Update Date:2019-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty
No261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitationGroup - Single Specialty