Organization Active NPI

At Home Pediatric Therapy, Inc.

  • Speech-Language Pathologist
  • Sneads Ferry, NC
National Provider Identifier
1043623408
Registry record updated Mar 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
9085 Issued in NC
Legal business name
AT HOME PEDIATRIC THERAPY, INC.
Practice address
1072 Hwy 210
B
Sneads Ferry, NC 28460
Phone
(910) 358-3445
Fax
(910) 939-4619
NPI assigned
Jun 3, 2014
Last updated
Mar 31, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2020

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

Authorized official

Name
Jessica Mortenson Riggs, MS, CCC-SLPNPI 1922317833
Title
Owner/President
Phone
(910) 358-3445

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 Pathologist 235Z00000X 9085 NC Primary

Addresses

Primary practice location

1072 Hwy 210
B
Sneads Ferry, NC 28460

Mailing address

182 Bumps Creek Rd
Sneads Ferry, NC 28460-6520
Phone (910) 358-3445

National Provider Directory

National Provider Directory

Locations

1072 NC Highway 210
#B
Sneads Ferry, NC 28460
Phone (910) 290-2170

1072 NC Highway 210
Ste 2B
Sneads Ferry, NC 28460

Practitioners & affiliated clinicians

Practitioners 4

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": "1401753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585612800000",
    "number": "1043623408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "182 BUMPS CREEK RD",
            "city": "SNEADS FERRY",
            "state": "NC",
            "postal_code": "284606520",
            "telephone_number": "910-358-3445",
            "fax_number": "910-939-4619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1072 HWY 210",
            "address_2": "B",
            "city": "SNEADS FERRY",
            "state": "NC",
            "postal_code": "28460",
            "telephone_number": "910-358-3445",
            "fax_number": "910-939-4619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AT HOME PEDIATRIC THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-03",
        "last_updated": "2020-03-31",
        "certification_date": "2020-03-31",
        "status": "A",
        "authorized_official_last_name": "RIGGS",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "MORTENSON",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "910-358-3445",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "9085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sneads Ferry, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2020; 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.