Organization Active NPI

Birdsong Therapy Services

  • Speech-Language Pathologist
  • Sugar Grove, NC
National Provider Identifier
1033302666
Registry record updated Aug 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
4739 Issued in NC
Legal business name
BIRDSONG THERAPY SERVICES
Practice address
683 Old US Highway 421
Sugar Grove, NC 28679-9549
Phone
(828) 297-6363
NPI assigned
Aug 27, 2007
Last updated
Aug 27, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2007

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

Authorized official

Name
Patricia BirdsongNPI 1285777425
Title
CCC-SLP
Phone
(828) 297-6363

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 4739 NC Primary

Addresses

Primary practice location

683 Old US Highway 421
Sugar Grove, NC 28679-9549

Mailing address

683 Old US Highway 421
Sugar Grove, NC 28679-9549
Phone (828) 297-6363

Other identifiers 1

IdentifierTypeStateIssuer
7211013MedicaidNC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188172800000",
    "number": "1033302666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "683 OLD US HIGHWAY 421",
            "city": "SUGAR GROVE",
            "state": "NC",
            "postal_code": "286799549",
            "telephone_number": "828-297-6363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "683 OLD US HIGHWAY 421",
            "city": "SUGAR GROVE",
            "state": "NC",
            "postal_code": "286799549",
            "telephone_number": "828-297-6363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIRDSONG THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-27",
        "last_updated": "2007-08-27",
        "status": "A",
        "authorized_official_last_name": "BIRDSONG",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "CCC-SLP",
        "authorized_official_telephone_number": "828-297-6363"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "4739",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7211013",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Grove, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2007; 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.