CAROLINA CHILDREN'S THERAPY (NPI# 1417092925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417092925 |
| Entity Type | Organization |
| Organization Name | CAROLINA CHILDREN'S THERAPY |
| Practice Address |
8031 Us Bus Hwy 70 W Clayton NC 27520-4807 |
| Practice Telephone | 9196309040 |
| Practice Fax Number | 9195533836 |
| Mailing Telephone | 9196309040 |
| Mailing Fax Number | 9195533836 |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2012-12-05 |
| Authorized Official Name | MRS. LISA HALES BROGDON (DIRECTOR) |
| Authorized Official Telephone | 9196309040 |
| Authorized Official Credential | M.S.,CCC-SLP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225XP0200X |
Occupational Therapist Specialization: Pediatrics |
1468 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 235Z00000X | Speech-Language Pathologist | 6445 | NC | Speech, Language and Hearing Service Providers |
| N | 235Z00000X | Speech-Language Pathologist | 5846 | NC | Speech, Language and Hearing Service Providers |
| N | 235Z00000X | Speech-Language Pathologist | 3429 | NC | Speech, Language and Hearing Service Providers |
| N | 235Z00000X | Speech-Language Pathologist | 8686 | NC | Speech, Language and Hearing Service Providers |
| Y | 235Z00000X | Speech-Language Pathologist | 3916 | NC | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBS GROUP PROVIDER NUMBE | 011NU | 01 |
| NC | 7210782 | 05 |
| Street Address |
8031 US BUS HWY 70 W |
| City | CLAYTON |
| State | NC |
| Zip Code | 27520-4807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336750959 | Ebony Nichole Sanders | Driver | 312 Kilgo, Clayton, NC 27520 | 2020-08-17 |
| 1831701382 | Deawna Jackson | Social Worker | 205 Gracie Lane, Clayton, NC 27520 | 2020-08-17 |
| 1952947798 | Mac Partners LLC | Home Health | 10027 Hwy 70 Business, Suite B, Clayton, NC 27520 | 2019-11-26 |
| 1386291102 | Benjamin R Anderson | Physician Assistant | 2138 Nc 42, Clayton, NC 27520 | 2019-08-26 |
| 1396217923 | Lindsey R. Williams Dds, Pa | Dentist | 45 Shotwell Rd., Clayton, NC 27520 | 2018-12-20 |
| 1063987303 | Christopher James Lane | Physician Assistant | 2076 Nc 42 W, Suite 230, Clayton, NC 27520 | 2018-10-12 |
| 1245733971 | Cordelia O Emebo | Pharmacist | 11360 Old Us Hwy 70 West, Clayton, NC 27520 | 2018-03-08 |
| 1487166906 | Kendall Bonot Rodgers | Physician Assistant | 11491 Us 70 Bus Hwy W, Clayton, NC 27520 | 2017-10-25 |
| 1033620828 | Laura Nguyen | Physician Assistant | 2076 Nc-42, Suite 230, Clayton, NC 27520 | 2017-10-19 |
| 1467974394 | Liliana Galvan | Social Worker | 510 W Main St., Suit 100, Clayton, NC 27520 | 2017-07-12 |
| Find all providers in zip 27520 | ||||
| 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 |
|---|---|---|---|---|
| 1861043978 | Shannon Hardee | Speech-Language Pathologist | Clayton Elementary, 510 Main Street, Clayton, DE 19938 | 2019-09-20 |
| 1922577147 | Suzanne A Frederickson | Speech-Language Pathologist | Highlands Internal Medicine, PC, 156 North Main St, Clayton, GA 30525 | 2018-11-16 |
| 1245748565 | Bree Hickox Bragg | Speech-Language Pathologist | 8857 Highway 76 W, Clayton, GA 30525-3706 | 2018-01-22 |
| 1639694656 | Jillian Sherrin | Speech-Language Pathologist | 205 Magnolia Cir, Clayton, NC 27527-8875 | 2017-08-10 |
| 1811417421 | Prime Legacy Rehabilitation Services, Pllc | Speech-Language Pathologist | 813 Yorkshire Dr, Clayton, NC 27520-2956 | 2017-06-24 |
| 1700314804 | Emily Roberts | Speech-Language Pathologist | 190 Mt Wilson Way, Clayton, CA 94517-1645 | 2017-06-01 |
| 1093179327 | Megan Bland | Speech-Language Pathologist | 301 Swann Trl, Clayton, NC 27527-6504 | 2016-04-12 |
| 1740603661 | Early Speech Services. | Speech-Language Pathologist | 68 Bent Creek Court, Clayton, NC 27527 | 2014-01-29 |
| 1871854240 | A To Z Speech Therapy Pllc | Speech-Language Pathologist | 212 W Moss Creek Dr, Clayton, NC 27520-6912 | 2012-06-01 |
| 1023397601 | Jessica Masciarelli | Speech-Language Pathologist | 54 Bexley Way, Clayton, NC 27527-3344 | 2011-08-12 |
| Find all providers in CLAYTON | ||||
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| 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.