Active NPI
Vantage Therapy Services
- Speech-Language Pathologist
- Durham, NC
National Provider Identifier
1194577049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- VANTAGE THERAPY SERVICES
- Practice address
- 5028 Rainmaker Dr
Durham, NC 27704-2298 - Phone
- (929) 824-4584
- NPI assigned
- Apr 3, 2024
- 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
- Kimberly Brown, M.S.,CCC-SLP
- Title
- Speech Language Pathologist
- Phone
- (919) 824-4584
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
5028 Rainmaker Dr
Durham, NC 27704-2298
Mailing address
5028 Rainmaker Dr
Durham, NC 27704-2298
Phone (929) 824-4584
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
- Durham, NC
- NPI 1326538463
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712102400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1712880000000",
"number": "1194577049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5028 RAINMAKER DR",
"city": "DURHAM",
"state": "NC",
"postal_code": "277042298",
"telephone_number": "929-824-4584"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5028 RAINMAKER DR",
"city": "DURHAM",
"state": "NC",
"postal_code": "277042298",
"telephone_number": "929-824-4584"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VANTAGE THERAPY SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-03",
"last_updated": "2024-04-12",
"certification_date": "2024-04-12",
"status": "A",
"authorized_official_last_name": "BROWN",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
"authorized_official_telephone_number": "919-824-4584",
"authorized_official_credential": "M.S.,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": []
}
Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.