Theresa Jean Pettas, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP11600 Issued in CA

Practice address

919 N Main St
Salinas, CA 93906-3912

Phone

(831) 754-0833

NPI assigned

Feb 14, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Theresa M Taylor

  • Physical Therapist
  • Salinas, CA
  • NPI 1528040029
  NPD (past)

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114069002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3094 STEWART CT",
            "city": "MARINA",
            "state": "CA",
            "postal_code": "939334744",
            "telephone_number": "831-384-1475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 N MAIN ST",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939063912",
            "telephone_number": "831-754-0833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTAS",
        "first_name": "THERESA",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP11600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Celestino Petrini, M.D.
• Catherine Petronijevic, DO
• Nicholas Paul Petronijevic, PA-C
• Steven Petronijevic, DO
• Nancy Petrovic
• Alyssia M Peyton, PT
• Aimee Pezqueda
• Annette Pfister
• Pham Family Optometry
• Duyen-Anh Pham

• Speech-Language Pathologist in Salinas, CA
• Providers in Salinas, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.