Active NPI
Innovative Therapy Solutions, PLLC
- Speech-Language Pathologist
- Creedmoor, NC
National Provider Identifier
1083033690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 10541
- Legal business name
- INNOVATIVE THERAPY SOLUTIONS, PLLC
- Practice address
- 2084 Longwood Dr
Creedmoor, NC 27522-8110 - Phone
- (866) 611-2144
- Fax
- (866) 209-1103
- NPI assigned
- Apr 10, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Katrina Green Paschall, M.ED
- Title
- Owner/Speech Language Pathologist
- Phone
- (770) 807-5829
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 10541 | NC | Primary |
Addresses
Primary practice location
2084 Longwood Dr
Creedmoor, NC 27522-8110
Mailing address
2084 Longwood Dr
Creedmoor, NC 27522-8110
Phone (866) 611-2144
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477780377 | Medicaid | NC |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- Creedmoor, NC
- NPI 1720462427
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397088000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1397088000000",
"number": "1083033690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2084 LONGWOOD DR",
"city": "CREEDMOOR",
"state": "NC",
"postal_code": "275228110",
"telephone_number": "866-611-2144",
"fax_number": "866-209-1103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2084 LONGWOOD DR",
"city": "CREEDMOOR",
"state": "NC",
"postal_code": "275228110",
"telephone_number": "866-611-2144",
"fax_number": "866-209-1103"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INNOVATIVE THERAPY SOLUTIONS, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-04-10",
"last_updated": "2014-04-10",
"status": "A",
"authorized_official_last_name": "PASCHALL",
"authorized_official_first_name": "KATRINA",
"authorized_official_middle_name": "GREEN",
"authorized_official_title_or_position": "OWNER/SPEECH LANGUAGE PATHOLOGIST",
"authorized_official_telephone_number": "770-807-5829",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "M.ED"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "10541",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1477780377",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Creedmoor, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.