Organization Active NPI

Pediatric Therapy Associates of NE, PA Inc

  • Speech-Language Pathologist
  • Shohola, PA
National Provider Identifier
1134581788
Registry record updated Mar 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SL007750 Issued in PA
Legal business name
PEDIATRIC THERAPY ASSOCIATES OF NE, PA INC
Practice address
117 Symphony Ter
Shohola, PA 18458-3601
Phone
(570) 228-6838
NPI assigned
Mar 23, 2016
Last updated
Mar 23, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2016

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

Authorized official

Name
Mrs. Julie McHale Dabney, MS, CCC-SLPNPI 1124251780
Title
Owner/Director, Speech Pathologist
Phone
(570) 228-6838

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 SL007750 PA Primary

Addresses

Primary practice location

117 Symphony Ter
Shohola, PA 18458-3601

Mailing address

117 Symphony Ter
Shohola, PA 18458-3601
Phone (570) 228-6838

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": "1458691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458691200000",
    "number": "1134581788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 SYMPHONY TER",
            "city": "SHOHOLA",
            "state": "PA",
            "postal_code": "184583601",
            "telephone_number": "570-228-6838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 SYMPHONY TER",
            "city": "SHOHOLA",
            "state": "PA",
            "postal_code": "184583601",
            "telephone_number": "570-228-6838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC THERAPY ASSOCIATES OF NE, PA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-23",
        "last_updated": "2016-03-23",
        "status": "A",
        "authorized_official_last_name": "DABNEY",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "MCHALE",
        "authorized_official_title_or_position": "OWNER/DIRECTOR, SPEECH PATHOLOGIST",
        "authorized_official_telephone_number": "570-228-6838",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL007750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shohola, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2016; 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.