Big Gym Therapy, LLC
NPI 1710322706ActiveOrganization· Physical Therapist, Pediatrics· Marietta, GA
Physical Therapist, Pediatrics in Marietta, Georgia, registered in NPPES in May 2013. The authorized official on file is Renee Robertson Maddux, P.T., Member.
Overview
| NPI | 1710322706 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 3, 2013 |
| Last updated in NPPES | Jul 23, 2025 |
| Certified by provider | Jul 23, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist, Pediatrics Primary | 2251P0200X | — | — |
| Physical Therapist | 225100000X | — | — |
| Occupational Therapist | 225X00000X | — | — |
| Occupational Therapist, Pediatrics | 225XP0200X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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