NPIMap

Organization Active NPI

Interactive Health Therapies, PLLC

  • Speech-Language Pathologist
  • Charlotte, NC
National Provider Identifier
1205066016
Registry record updated Jul 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
INTERACTIVE HEALTH THERAPIES, PLLC
Practice address
2101 Sardis Rd N Ste 112
Charlotte, NC 28227-7805
Phone
(704) 845-6134
Fax
(704) 845-8024
NPI assigned
Jul 15, 2009
Last updated
Jul 15, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2009

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

Authorized official

Name
Laquinta M. Khaldun, SLPNPI 1851457931
Title
Owner
Phone
(704) 845-6134

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 PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

2101 Sardis Rd N Ste 112
Charlotte, NC 28227-7805

Mailing address

2101 Sardis Rd N Ste 112
Charlotte, NC 28227-7805
Phone (704) 845-6134

National Provider Directory

National Provider Directory

Locations

2101 Sardis Rd N
Ste 112
Charlotte, NC 28227
Phone (704) 488-5104

Practitioners & affiliated clinicians

Practitioners 6

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": "1247616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247616000000",
    "number": "1205066016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 SARDIS RD N STE 112",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282277805",
            "telephone_number": "704-845-6134",
            "fax_number": "704-845-8024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 SARDIS RD N STE 112",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282277805",
            "telephone_number": "704-845-6134",
            "fax_number": "704-845-8024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERACTIVE HEALTH THERAPIES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-15",
        "last_updated": "2009-07-15",
        "status": "A",
        "authorized_official_last_name": "KHALDUN",
        "authorized_official_first_name": "LAQUINTA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-845-6134",
        "authorized_official_credential": "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 Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2009; 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.