Provider Demographics
NPI:1588448245
Name:THERAPY TO GO LLC
Entity type:Organization
Organization Name:THERAPY TO GO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:JOY
Authorized Official - Middle Name:CAROLINE
Authorized Official - Last Name:MERCHAN
Authorized Official - Suffix:
Authorized Official - Credentials:MED CCC-SLP / LPN
Authorized Official - Phone:404-422-0178
Mailing Address - Street 1:1255 POND SPRINGS TRCE SW
Mailing Address - Street 2:
Mailing Address - City:LILBURN
Mailing Address - State:GA
Mailing Address - Zip Code:30047-1992
Mailing Address - Country:US
Mailing Address - Phone:404-422-0178
Mailing Address - Fax:678-783-7925
Practice Address - Street 1:1255 POND SPRINGS TRCE SW
Practice Address - Street 2:
Practice Address - City:LILBURN
Practice Address - State:GA
Practice Address - Zip Code:30047-1992
Practice Address - Country:US
Practice Address - Phone:404-422-0178
Practice Address - Fax:678-783-7925
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-23
Last Update Date:2023-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
No164W00000XNursing Service ProvidersLicensed Practical NurseGroup - Multi-Specialty
No224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy AssistantGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy AssistantGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty