MRS. SAMANTHA LYNN PANKAU THOMAS


Address: 15300 Bowmans Folly Dr, Manassas, VA 20112-5450
Phone: 7035838774

MRS. SAMANTHA LYNN PANKAU THOMAS (NPI# 1164911020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164911020
Entity Type Individual
Full Name MRS. SAMANTHA LYNN PANKAU THOMAS
Credential MS, CCC-SLP
Practice Address 15300 Bowmans Folly Dr
Manassas
VA 20112-5450
Mailing Address 15694 Beacon Ct
Dumfries
VA 22025-1830
Practice Telephone 7035838774
Mailing Telephone 8478941837
Enumeration Date 2018-05-07
Last Update Date 2018-05-07
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 235Z00000X Speech-Language Pathologist 2202006733 VA Speech, Language and Hearing Service Providers

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Office Location

Street Address 15300 BOWMANS FOLLY DR
City MANASSAS
State VA
Zip Code 20112-5450

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609361849 Rasha Jamal Hussein Dentist 12701 Galveston Ct, Manassas, VA 20112 2018-06-29
1023510500 Brooke Newman Speech-Language Pathologist 14715 Bristow Road, Manassas, VA 20112 2018-03-01
1174837165 Carol M Cantello Occupational Therapist 12676 Cobblestone Ct, Manassas, VA 20112 2010-08-02
1245429935 Virginia Cvs Pharmacy, L.L.C. Durable Medical Equipment & Medical Supplies 6360 Hoadly Rd, Manassas, VA 20112 2007-10-18
1780765982 Cheryl Lynn Toulouse Nurse Practitioner Endocrine and Diabetes Center, 2200 Opitz Blvd, Suite 250, Woodbridge, VA 20112 2006-10-17
1295224889 Priscilla Amfo Nurse Practitioner 6360 Hoadly Rd, Manassas, VA 20112 2018-05-09
1548627797 Dawnita Truitt-calderone Speech-Language Pathologist 14715 Bristow Rd, Manassas, VA 20112 2016-01-19
1275998486 Courtney Harless Nurse Practitioner 6360 Hoadly Rd, Manassas, VA 20112 2015-12-15
1205106069 Andre Delray Route Home Health Aide 7600 Georgia Ave, Premier Health Services, Suite 323, Washington, DC 20112 2012-01-10
1548369390 Mark A Bodwalk Counselor 6922 Newman Rd, Clifton, VA 20112-1613 2006-09-21
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Taxonomy Information

Taxonomy Code 235Z00000X
Grouping Speech, Language and Hearing Service Providers
Classification Speech-Language Pathologist

Taxonomy Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1588275481 Tamar Thompson Speech-Language Pathologist 10296 Cleary St Apt 301, Manassas, VA 20110-6719 2020-08-13
1326686221 Sophie Louise Elliot Speech-Language Pathologist 10550 Linden Lake Plaza Suite 100, Manassas, VA 20109 2019-12-11
1962987628 Nicole Piazza Speech-Language Pathologist 8750 Weems Rd, Manassas, VA 20110-4941 2018-09-28
1770080822 Lissa Martin Comeau Speech-Language Pathologist 8700 Centreville Rd # 400, Manassas, VA 20110-8430 2018-04-06
1467956185 Kristen Cozette Byington Whatley Speech-Language Pathologist 10100 Hastings Dr, Manassas, VA 20110-6092 2018-03-19
1467954487 Amy Lynn Watson Speech-Language Pathologist 7405 Hoadly Rd, Manassas, VA 20112-3634 2018-03-06
1588166771 Janice Marie Mckenzie Speech-Language Pathologist 8909 Euclid Ave, Manassas, VA 20111-2404 2018-03-02
1023510500 Brooke Newman Speech-Language Pathologist 14715 Bristow Road, Manassas, VA 20112 2018-03-01
1316448236 Marisa Lee Freeman Speech-Language Pathologist 9553 Birmingham Dr, Manassas, VA 20111-2409 2018-02-26
1043719974 Erin Boccardo Speech-Language Pathologist 9075 Park Ave, Manassas, VA 20110-4317 2018-02-06
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Competitor

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City MANASSAS
Zip Code 20112

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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