Provider Demographics
NPI:1255580239
Name:BUILDING BLOCKS PEDIATRICS, LLC
Entity type:Organization
Organization Name:BUILDING BLOCKS PEDIATRICS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCCUPATIONAL THERAPIST/MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:NOLAN
Authorized Official - Last Name:ROSENKRANZ
Authorized Official - Suffix:
Authorized Official - Credentials:MS, OTR/L
Authorized Official - Phone:404-643-0136
Mailing Address - Street 1:2840 PEACHTREE RD NW
Mailing Address - Street 2:SUITE 411
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30305-2924
Mailing Address - Country:US
Mailing Address - Phone:404-643-0136
Mailing Address - Fax:404-551-3891
Practice Address - Street 1:1230 JOHNSON FERRY PL
Practice Address - Street 2:I-20
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30068-2048
Practice Address - Country:US
Practice Address - Phone:404-643-0136
Practice Address - Fax:404-551-3891
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-15
Last Update Date:2008-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Single Specialty
No2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatricsGroup - Single Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty