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

Ducktails Pediatric Therapy and Wellness Inc

Organization Pediatric Occupational Therapist · NPI 1558477695

Ducktails Pediatric Therapy and Wellness Inc is a Pediatric Occupational Therapist in Evans, Georgia. Works from 2 locations. Licensed in Georgia.

Licensed in
GA
In the registry since
2006
Specialties on file
5
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

568 Blue Ridge Dr
Evans, GA 30809-3604
Phone: (706) 364-5262
Fax: (706) 364-5263
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 421 Edgefield Rd Rm B117-5, Belvedere, SC 29841-2472 — (706) 364-5262

Specialties & licences

Physical Therapy Clinic/Center (primary) Taxonomy 261QP2000X
Pediatric Occupational Therapist Taxonomy 225XP0200X · Licence 003593 (GA)
Physical Therapy Clinic/Center Taxonomy 261QP2000X · Licence PT004118 (GA)
Physical Therapy Clinic/Center Taxonomy 261QP2000X · Licence PT008564 (GA)
Physical Therapy Clinic/Center Taxonomy 261QP2000X · Licence PT004423 (GA)

Record details

NPI number1558477695
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amy Ross — Owner / Otrl · (706) 364-5262
NPI enumeratedAugust 22, 2006
Last updated in NPPESJune 18, 2025
Certification dateJune 18, 2025
Mailing address568 Blue Ridge Dr, Evans, GA 30809-3604

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