CRIPPLED CHILDREN'S HOSPITAL (NPI# 1376680710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376680710 |
| Entity Type | Organization |
| Organization Name | CRIPPLED CHILDREN'S HOSPITAL |
| Other Organization Name | CHILDREN'S HOSPITAL |
| Practice Address |
10124 W Broad St Ste K Children's Hospital Therapy Center Glen Allen VA 23060-3330 |
| Mailing Address |
2924 Brook Rd Credentialing Dept Richmond VA 23220-1215 |
| Practice Telephone | 8042736656 |
| Practice Fax Number | 8042736612 |
| Mailing Telephone | 8043217474 |
| Mailing Fax Number | 8043212728 |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. SAMUEL G WEIDMAN (VICE PRESIDENT & CFO) |
| Authorized Official Telephone | 8043217474 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | H1842 | VA | Speech, Language and Hearing Service Providers |
| Other Name | Type Code |
|---|---|
| Children's Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386809044 | Crippled Children's Hospital | Clinic/Center | 321 B Poplar Drive, Suite 4 Children's Hospital Therapy Center, Petersburg, VA 23805 | 2008-07-22 |
| 1356564066 | Crippled Children's Hospital | Physical Therapist | 206 Twinridge Ln Ste A, Children's Hospital Bon Air Therapy Center, Richmond, VA 23235-5244 | 2007-04-11 |
| 1013030717 | Crippled Children's Hospital | Occupational Therapist | Lee's Hill Medical Center 10530 Spotsylvania Ave, Children's Hospital Therapy Center Suite 102, Fredericksburg, VA 22408 | 2007-04-09 |
| 1285771626 | Crippled Children's Hospital | Physical Therapist | 10530 Spotsylvania Ave, Suite 102 Children's Hospital Therapy Center, Fredericksburg, VA 22408 | 2007-02-01 |
| 1306983853 | Crippled Children's Hospital | Occupational Therapist | 10530 Spotsylvania Ave Suite 102, Children's Hospital Therapy Center, Fredericksburg, VA 22408 | 2007-01-31 |
| 1841258589 | Crippled Children's Hospital | General Acute Care Hospital | 2924 Brook Rd, Richmond, VA 23220-1215 | 2006-05-03 |
| 1720293467 | Crippled Children's Hospital | Dentist | 2924 Brook Rd, Children's Hospital, Richmond, VA 23220-1215 | 2007-05-14 |
| 1538382247 | Crippled Children's Hospital | Physical Therapist | 10124 W Broad St, Children's Hospital Therapy Center Suite K, Glen Allen, VA 23060-3330 | 2007-04-11 |
| 1295958361 | Crippled Children's Hospital | Clinical Neuropsychologist | 2924 Brook Rd, Richmond, VA 23220-1215 | 2007-04-10 |
| 1619015682 | Crippled Children's Hospital | Clinic/Center | 2924 Brook Rd, Children's Hospital, Richmond, VA 23220-1215 | 2007-02-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | CRIPPLED CHILDREN'S HOSPITAL | 2924 Brook Rd, Richmond, Virginia 23220 |
| Street Address |
10124 W BROAD ST STE K CHILDREN'S HOSPITAL THERAPY CENTER |
| City | GLEN ALLEN |
| State | VA |
| Zip Code | 23060-3330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780765552 | Lucille Marie O'neil | Physical Therapist | 10124 W Broad St Ste K, Glen Allen, VA 23060-3330 | 2006-10-18 |
| 1487791828 | Crippled Children's Hospital | Occupational Therapist | 10124 W Broad St Ste K, Children's Hospital Therapy Center, Glen Allen, VA 23060-3330 | 2007-02-01 |
| 1013054782 | Crippled Children's Hospital | Physical Therapist | 10124 W Broad St Ste K, Children's Hospital Therapy Center, Glen Allen, VA 23060-3330 | 2007-01-31 |
| 1164501870 | Joyce Irene Koontz | Occupational Therapist | 10124 W Broad St Ste K, Glen Allen, VA 23060-3330 | 2006-11-03 |
| 1356423628 | Shannon Ann Richard | Physical Therapist | 10124 W Broad St Ste K, Glen Allen, VA 23060-3330 | 2006-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205469715 | Romy Sharieff | Midwife | 10433 Mountain Glen Pkwy, Glen Allen, VA 23060 | 2020-02-13 |
| 1366934549 | Guillermo Del Campo | Optometrist | 4114 Innslake Drive, Glen Allen, VA 23060 | 2018-06-04 |
| 1871013771 | Wecare Medical Transportation Inc. | Driver | 10524 Boscastle Rd, Glen Allen, VA 23060 | 2017-06-21 |
| 1265889570 | Darchelle Braxton Dmd PC | Dentist | 4300 Pouncey Tract Road Suite I, Glen Allen, VA 23060 | 2016-05-17 |
| 1952714842 | Gaynier Orthodontics PC | Clinic/Center | 4701 Cox Rx Ste 285, C/o Ct Corporation, Glen Allen, VA 23060 | 2014-06-09 |
| 1538507819 | Rca Laboratory Services, LLC | Clinical Medical Laboratory | 4060 Innslake Dr, Glen Allen, VA 23060 | 2013-06-10 |
| 1922352772 | Samantha S Stone | Physical Therapist | 4101 Cox Rd Ste 100, Glen Allen, VA 23060 | 2012-11-01 |
| 1609123660 | Stephanie Rene Matsko | Optometrist | 4114 Innslake Dr., Glen Allen, VA 23060 | 2012-08-09 |
| 1851661367 | Lateaka Sheri Vinson | Speech-Language Pathologist | 2250 Old Brick Rd, Suite 2229, Glen Allen, VA 23060 | 2012-01-01 |
| 1568774271 | Cynthia A Koza | Optometrist | 4600 Cox Road, Suite 120, Glen Allen, VA 23060 | 2010-07-10 |
| Find all providers in zip 23060 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932734340 | Spring Into Speech, LLC | Speech-Language Pathologist | 3925 Liesfeld Pl, Glen Allen, VA 23060-6018 | 2020-03-05 |
| 1790278687 | Kristin Nichelle Peace | Speech-Language Pathologist | 5200 Francistown Rd, Glen Allen, VA 23060-2841 | 2018-06-14 |
| 1306337803 | Ellen Mary Van Meter | Speech-Language Pathologist | 12025 Turnberry Park Ln, Glen Allen, VA 23059-6026 | 2018-05-21 |
| 1801386347 | Susan Milligan Walker | Speech-Language Pathologist | 600 Concourse Blvd, Glen Allen, VA 23059-5779 | 2018-05-10 |
| 1609365881 | Amy Hale | Speech-Language Pathologist | 9500 Norfolk St, Glen Allen, VA 23060-2381 | 2018-05-03 |
| 1518468347 | Tracy Lee Henderson | Speech-Language Pathologist | 11600 Holman Ridge Rd, Glen Allen, VA 23059-5661 | 2018-02-27 |
| 1396263042 | Donna Alvut | Speech-Language Pathologist | 11101 Mill Rd, Glen Allen, VA 23060-5004 | 2017-09-01 |
| 1720506421 | Kelsey Elizabeth Dunbar | Speech-Language Pathologist | 5680 Pouncey Tract Rd, Glen Allen, VA 23059-5314 | 2017-09-01 |
| 1760909741 | Jane-anne Herkins | Speech-Language Pathologist | 12200 Wyndham Lake Dr, Glen Allen, VA 23059-5495 | 2017-08-29 |
| 1982121984 | Kimberly Lancaster Didra | Speech-Language Pathologist | 4301 Fort Mchenry Pkwy, Glen Allen, VA 23060-9247 | 2017-08-29 |
| Find all providers in GLEN ALLEN | ||||
| City | GLEN ALLEN |
| Zip Code | 23060 |
Please comment or provide details below to improve the information on CRIPPLED CHILDREN'S HOSPITAL.
| 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.