Organization Active NPI

Innovative Therapy Solutions, PLLC

  • Speech-Language Pathologist
  • Creedmoor, NC
National Provider Identifier
1083033690
Registry record updated Apr 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
10541 Issued in NC
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

Updated by the provider on Apr 10, 2014

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)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1477780377MedicaidNC

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.

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.

Verify at the official NPI Registry.