MEDICARE: TEAMUP THERAPY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist
2	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1588358642
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TEAMUP THERAPY LLC

Provider Business Mailing Address
First Line	:	100 N PATTERSON ST STE 133
Second Line	:
City	:	VALDOSTA
State	:	GA
Zip	:	31601-5570
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 N PATTERSON ST STE 133
Second Line	:
City	:	VALDOSTA
State	:	GA
Zip	:	31601-5570
Country	:	US
Telephone Number	:	404-721-4638
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CHRISTOPHER MOATES
Credential	:
Telephone Number	:	229-942-3839

Provider Enumeration Date	:	06/02/2023
Last Update Date	:	09/10/2025

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Directions to “TEAMUP THERAPY LLC ” Practice Location

Language	Start Address	Practice Location

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