OrganizationActive
Big Gym Therapy, LLC
NPI 1710322706 · Pediatric Physical Therapist · Marietta, GA
Provider details
- NPI number
- 1710322706
- Entity type
- Organization
- Primary specialty
- Pediatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Renee Maddux, Member(678) 736-0724
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Physical Therapist225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Occupational Therapist225X00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Pediatric Occupational Therapist225XP0200X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
4005 Canton Rd
Marietta, GA 30066-2739
Phone: (770) 728-8833
Fax: (678) 668-7469
Approximate (ZIP-level) locationGet directions
Mailing address
4005 Canton Rd
Marietta, GA 30066-2739
Registry dates
- Enumerated
- 2013-05-03
- Last updated
- 2025-07-23
- Certified
- 2025-07-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.