KLM Pediatric Therapy Services

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2202006255 Issued in VA

Legal business name

KLM PEDIATRIC THERAPY SERVICES

Practice address

541 Jerusalem Rd
Boydton, VA 23917-4519

Phone

(804) 972-8486

Fax

(866) 803-2367

NPI assigned

Jul 25, 2012

Organization subpart

No

Name

Linda Means, M.S. CCC-SLP

Title

President

Phone

(804) 972-8486

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 25, 2012.

{
    "created_epoch": "1343174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343174400000",
    "number": "1023364239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 JERUSALEM RD",
            "city": "BOYDTON",
            "state": "VA",
            "postal_code": "239174519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 JERUSALEM RD",
            "city": "BOYDTON",
            "state": "VA",
            "postal_code": "239174519",
            "telephone_number": "804-972-8486",
            "fax_number": "866-803-2367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLM PEDIATRIC THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-25",
        "last_updated": "2012-07-25",
        "status": "A",
        "authorized_official_last_name": "MEANS",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "804-972-8486",
        "authorized_official_credential": "M.S. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202006255",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1861706624",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolyn Shores Hoyle, APRN/ FNP-C
• Jan L Hundley, CNS
• Willoughby Shelton Hundley III, M.D.
• Robin H. Jennings, RDH
• Journey to Peace, LLC
• Carolyn B Leach, NP
• T'Onna Logan
• Stephanie J. Lucy, MS, CCC-SLP
• Curtis Mangum
• Mecklenburg County Board of Supervisors

• All providers in Boydton, VA
• Speech-Language Pathologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2012; 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.