NPIMap

Organization Active NPI

Pediatric Therapy Connection, PLLC

  • Speech-Language Pathologist
  • Greensboro, NC
National Provider Identifier
1003375288
Registry record updated Mar 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
PEDIATRIC THERAPY CONNECTION, PLLC
Practice address
4160 Piedmont Pkwy Ste 101
Greensboro, NC 27410-8174
Phone
(336) 601-8604
NPI assigned
Mar 18, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kelly T KeeterNPI 1497070536
Title
Owner
Phone
(336) 601-8604

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

4160 Piedmont Pkwy Ste 101
Greensboro, NC 27410-8174

Mailing address

4160 Piedmont Pkwy Ste 101
Greensboro, NC 27410-8174
Phone (336) 601-8604

National Provider Directory

National Provider Directory

Locations

4160 Piedmont Pkwy
Ste 101
Greensboro, NC 27410
Phone (336) 601-8604

4144 Mendenhall Oaks Pkwy
Ste 103
High Point, NC 27265
Phone (336) 601-8604

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1552867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552867200000",
    "number": "1003375288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4160 PIEDMONT PKWY STE 101",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274108174",
            "telephone_number": "336-601-8604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4160 PIEDMONT PKWY STE 101",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274108174",
            "telephone_number": "336-601-8604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC THERAPY CONNECTION, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-18",
        "last_updated": "2019-03-18",
        "status": "A",
        "authorized_official_last_name": "KEETER",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-601-8604"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.