MEDICARE: BEE FUNCTIONAL THERAPY SERVICES 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	225XP0200X	Pediatric Occupational Therapist
2	225X00000X	Occupational Therapist

General Provider Information

NPI Number	:	1427919901
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEE FUNCTIONAL THERAPY SERVICES LLC

Provider Business Mailing Address
First Line	:	572 HANK AARON DR SE STE 4100-333
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30312-2898
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	572 HANK AARON DR SE STE 4100-333
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30312-2898
Country	:	US
Telephone Number	:	334-210-0330
Fax Number	:

Authorized Official
Title or Position	:	OCCUPATIONAL THERAPIST
Name	:	COURTNEY ALEXIS LANDRUM
Credential	:	OT
Telephone Number	:	334-210-0330

Provider Enumeration Date	:	11/24/2025
Last Update Date	:	01/17/2026

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