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Ducktails Pediatric Therapy and Wellness Inc

Physical Therapy Clinic/Center in Evans, GA · enumerated 2006 · authorized official Amy Ross, Owner / Otrl.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1558477695

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Registry record

Entity type Organization (Type 2)
Legal business name Ducktails Pediatric Therapy and Wellness Inc
Practice address 568 Blue Ridge Dr, Evans, GA, 30809
Fax (706) 364-5263
Enumeration date Aug 22, 2006
Last updated in NPPES Jun 18, 2025

Taxonomy & classification

225XP0200X Pediatric Occupational Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License 003593 (GA) Secondary
261QP2000X Physical Therapy Clinic/Center Ambulatory Health Care Facilities · License PT004118 (GA) Secondary
261QP2000X Physical Therapy Clinic/Center Ambulatory Health Care Facilities · License PT008564 (GA) Secondary
261QP2000X Physical Therapy Clinic/Center Ambulatory Health Care Facilities · License PT004423 (GA) Secondary
261QP2000X Physical Therapy Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Amy Ross
Title Owner / Otrl

Other identifiers

Identifier Type State Issuer
000717274C Medicaid GA -
000767456C Medicaid GA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-06-18. Verify at npiregistry.cms.hhs.gov.
Where is Ducktails Pediatric Therapy and Wellness Inc located?
The practice location on file with NPPES is in Evans, GA.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-06-18.