Healthcare Provider Details

I. General information

NPI: 1568770568
Provider Name (Legal Business Name): STEP BY STEP PEDIATRIC THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2010
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

114 DOGWOOD DR
WAYNESBORO GA
30830-5446
US

IV. Provider business mailing address

PO BOX 965
WAYNESBORO GA
30830-0965
US

V. Phone/Fax

Practice location:
  • Phone: 706-833-1985
  • Fax: 706-466-7006
Mailing address:
  • Phone: 706-554-5700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT007306
License Number StateGA

VIII. Authorized Official

Name: JENNIFER A HOOD
Title or Position: OWNER/PHYSICAL THERAPIST
Credential: MPT
Phone: 706-554-5700