Sankofa Pediatric Therapy

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

SANKOFA PEDIATRIC THERAPY

Practice address

140 W Main St
Sanford, NC 27332-5907

Phone

(919) 770-6649

NPI assigned

Jun 27, 2023

Organization subpart

No

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

Authorized official

Name

Porshia Wicker, CCC-SLPNPI 1245687268

Title

Speech Language Pathologist

Phone

(919) 770-6649

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Porshia Sade Wicker, CCC-SLP

  • Speech-Language Pathologist
  • Sanford, NC
  • NPI 1245687268
  NPD Authorized official

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

{
    "created_epoch": "1687824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687824000000",
    "number": "1154007623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 W MAIN ST",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273325907",
            "telephone_number": "919-770-6649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 W MAIN ST",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273325907",
            "telephone_number": "919-770-6649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANKOFA PEDIATRIC THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-27",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A",
        "authorized_official_last_name": "WICKER",
        "authorized_official_first_name": "PORSHIA",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "919-770-6649",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sanford Sandhills Emergency Physicians, P.C.
• Sanford Senior Living, LLC
• Sanford Surgical Specialties, P.a.
• Sanford Treatment Center, LLC
• Sahana Rakshana Sankar, P.A.
• Martha Sapp, PHARMD
• Aliese Anahid Sarkissian, MD
• Ashwani Sastry, MD
• Dustin Saulsbury
• Anna Savage

• Speech-Language Pathologist in Sanford, NC
• Providers in Sanford, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; 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.