Kiddos' Clubhouse – Pediatric Occupational Therapist, NPI 1790747962

Kiddos' Clubhouse is a healthcare provider. based in Alpharetta, Georgia. specializing in Pediatric Occupational Therapist. The organization holds a License No. OT002774 (GA). The NPI Number for Kiddos' Clubhouse is 1790747962

Main info

Organization
Name
Kiddos' Clubhouse
NPI
1790747962
Phone
(678) 527-3224
Address
11539 PARK WOODS CIR
Authorized Official
BRETT RUSSELL DEVORE OWNER MS, OTR/L
Enumeration Date
4 April 2006
Last Update Date
17 March 2026
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness90
Years active:20State licenses:1Digital endpoints

Loading map...

Provider Addresses for Kiddos' Clubhouse

  • 11539, Park Woods Circle, Alpharetta, Fulton County, Georgia, 30005, United States

    SUITE 502

    ALPHARETTA, GA 300054413

    Phone: (678) 527-3224

    Fax: (678) 366-5886

    Type: Location

  • 11539 PARK WOODS CIR STE 502

    ALPHARETTA, GA 300052413

    Phone: (678) 527-3224

    Fax: (678) 366-5886

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30005)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the 10-digit NPI for Kiddos' Clubhouse?
Kiddos' Clubhouse — NPI 1790747962 — is the standard way to identify this listing.
Does the file indicate Kiddos' Clubhouse is practicing under active NPI?
Directory data currently reports Kiddos' Clubhouse as active.
What healthcare role does Kiddos' Clubhouse hold?
Scheduling teams often label Kiddos' Clubhouse under Pediatric Occupational Therapist. Clinical services aligned with this taxonomy classification.
Does Kiddos' Clubhouse list a practice location?
Patients near Alpharetta, Georgia may find Kiddos' Clubhouse in results; validate coverage separately.
How many locations tie to this NPI?
3 practice locations appear in the available data.

Similar Providers

Parallel Play

Pediatric Occupational Therapist
1180 ROSEWOOD DR
NPI: 1245246057

BRETT R DEVORE (MS, OTRL)

Pediatric Occupational Therapist
11539, Park Woods Circle, Alpharetta, Fulton County, Georgia, 30005, United States
NPI: 1699836502

SENSEABLE THERAPY, INC

Pediatric Occupational Therapist
4965, Thornbury Way, Alpharetta, Fulton County, Georgia, 30005, United States
NPI: 1912062605

HUA-KUO CHOU (M.S., OTR)

Occupational Therapist
4965, Thornbury Way, Alpharetta, Fulton County, Georgia, 30005, United States
NPI: 1659436335

MRS. KELLY COBB NELSON (MS OTRL)

Pediatric Occupational Therapist
1203, Bombay Lane, Roswell, Fulton County, Georgia, 30076, United States
NPI: 1679638977

Pediatric Therapy of Forsyth

Pediatric Occupational Therapist
2670 STONEHILL WAY
NPI: 1992833578

SUSAN MARIE WILES (OTRL)

Pediatric Occupational Therapist
5955 Shiloh Rd E Ste 205
NPI: 1801924402

PENELOPE MORISEY (OTR)

Pediatric Occupational Therapist
4650 LAKEWAY PL
NPI: 1881724011

NICOLE MEYER (OTR)

Pediatric Occupational Therapist
11193 CALYPSO DR
NPI: 1164552253