Provider Demographics
NPI:1740091065
Name:CONNECTED THERAPY SOLUTIONS OF GEORGIA, LLC
Entity type:Organization
Organization Name:CONNECTED THERAPY SOLUTIONS OF GEORGIA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:REGINA
Authorized Official - Middle Name:
Authorized Official - Last Name:SITTERLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:607-760-1851
Mailing Address - Street 1:5554 KINGS TREE PASS NW
Mailing Address - Street 2:
Mailing Address - City:ACWORTH
Mailing Address - State:GA
Mailing Address - Zip Code:30101-8081
Mailing Address - Country:US
Mailing Address - Phone:607-760-1851
Mailing Address - Fax:866-673-0779
Practice Address - Street 1:5554 KINGS TREE PASS NW
Practice Address - Street 2:
Practice Address - City:ACWORTH
Practice Address - State:GA
Practice Address - Zip Code:30101-8081
Practice Address - Country:US
Practice Address - Phone:607-760-1851
Practice Address - Fax:866-573-0779
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-16
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy AssistantGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty