Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Activekidz and Adult Therapy Services

Organization Pediatric Rehabilitation Medicine Physician · NPI 1093561656

Activekidz and Adult Therapy Services is a Pediatric Rehabilitation Medicine Physician in Tyrone, Georgia. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

1130 Senoia Rd Ste A1
Tyrone, GA 30290-1640
Phone: (678) 632-6765
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Rehabilitation Medicine Physician (primary) Taxonomy 2081P0010X

Record details

NPI number1093561656
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Susan Cook — Owner · (770) 207-6390
NPI enumeratedApril 25, 2024
Last updated in NPPESApril 25, 2024
Certification dateApril 25, 2024
Mailing address1431 Capital Ave Ste 123, Watkinsville, GA 30677-1883