Moon River, Llc is a Speech-Language Pathologist based in Marietta, GA. Moon River, Llc practices in Marietta, GA. The NPI Number for Moon River, Llc is 1730143553 and holds a License No. PT003833 (Georgia).
The current practice location address for Moon River, Llc is 790 Oak Trail Dr, Marietta, GA and can be reached out via phone at 770-977-6866 and via fax at 770-977-6887.
Location: 790 Oak Trail Dr, Marietta, GA, 30062-7502
Provider Profile Details
NPI Number
1730143553
Provider Name
Moon River, Llc
Credential
Provider Entity Type
Organization
Address
790 Oak Trail Dr, Marietta, GA, 30062-7502
Phone Number
770-977-6866
Fax Number
770-977-6887
Provider Enumeration Date
04/17/2006
Last Update Date
03/12/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 191707573A | 05 | GA | |
| 240960806A | 05 | GA | |
| 516643175A | 05 | GA | |
| 761415888A | 05 | GA | |
| 814363142A | 05 | GA | |
| 000860736B | 05 | GA | |
| 146855825A | 05 | GA | |
| 765677599A | 05 | GA | |
| 188883028B | 05 | GA | |
| 317872221A | 05 | GA | |
| 339518223A | 05 | GA | |
| 426315361A | 05 | GA | |
| 986209149B | 05 | GA | |
| 000970835A | 05 | GA | |
| 481436178B | 05 | GA | |
| 503885675B | 05 | GA | |
| 850524466A | 05 | GA | |
| 315889908A | 05 | GA | |
| 000753563E | 05 | GA | |
| 461168837A | 05 | GA |
Provider Business Practice Location Address Details
Address
790 Oak Trail Dr
City
State
Zip
30062-7502
Phone Number
770-977-6866
Fax Number
770-977-6887
Provider Business Mailing Address Details
Address
790 Oak Trail Dr
City
State
Zip
30062-7502
Phone Number
770-977-6866
Fax Number
770-977-6887
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
-
Taxonomy
License No.
PT001355 (Georgia)
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs: 1.Diagnose and manage movement dysfunction and enhance physical and functional abilities. 2.Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health. 3.Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries. 4.Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems. 5.Address the negative effects attributable to unique personal and environmental factors as they relate to human performance. 6.PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
Provider's Taxonomy Details 2
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Occupational Therapist
Speciality
-
Taxonomy
License No.
PT008507 (Georgia)
Definition
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
Provider's Taxonomy Details 3
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Occupational Therapist
Speciality
Pediatrics
Taxonomy
License No.
PT008523 (Georgia)
Definition
Occupational therapists provide services to infants, toddlers and children who have or who are at risk for developmental delays or disabilities. Occupational therapy is concerned with a child's ability to participate in daily life activities or "occupations." Occupational therapists use their unique expertise to help children with social-emotional, physical, cognitive, communication, and adaptive behavioral challenges and to help children to be prepared for and perform important learning and school-related activities and to fulfill their rule as students. Through an understanding of the impact of disability, illness, and impairment on a child's development, plan, ability to learn new skills, and overall occupational performance, occupational therapists design interventions that promote healthy development, establish needed skills, and/or modify environments, all in support of participation in daily activities.
Provider's Taxonomy Details 4
Type
Speech, Language and Hearing Service Providers
Classification
Speech-Language Pathologist
Speciality
-
Taxonomy
License No.
PT003833 (Georgia)
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
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