NPIMap

Organization Active NPI

Kids R US Therapy

  • Speech-Language Pathologist
  • Clayton, NC
National Provider Identifier
1205077153
Registry record updated Mar 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
1032 Issued in NC
Legal business name
KIDS R US THERAPY
Practice address
104 State Ave
Suite 100
Clayton, NC 27520-5116
Phone
(919) 553-2661
Fax
(919) 553-3769
NPI assigned
Mar 23, 2009
Organization subpart
Yes
Parent organization
KIDS R US THERAPYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 23, 2009

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

Authorized official

Name
Mrs. Donna Greene, OTR/LNPI 1780715565
Title
Owner
Phone
(919) 606-1019

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 1032 NC Primary

Addresses

Primary practice location

104 State Ave
Suite 100
Clayton, NC 27520-5116

Mailing address

104 State Ave
Suite 100
Clayton, NC 27520-5116
Phone (919) 553-2661

National Provider Directory

National Provider Directory
Tax ID family
Kids R US Therapy Inc4 organizations share this tax ID, including this one
Part of
Kids R US Therapy Inc

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

104 State Ave
Ste 100
Clayton, NC 27520
Phone (919) 553-2661

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1237766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237766400000",
    "number": "1205077153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 STATE AVE",
            "address_2": "SUITE 100",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275205116",
            "telephone_number": "919-553-2661",
            "fax_number": "919-553-3769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 STATE AVE",
            "address_2": "SUITE 100",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275205116",
            "telephone_number": "919-553-2661",
            "fax_number": "919-553-3769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS R US THERAPY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KIDS R US THERAPY",
        "enumeration_date": "2009-03-23",
        "last_updated": "2009-03-23",
        "status": "A",
        "authorized_official_last_name": "GREENE",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-606-1019",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "1032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clayton, NC

Sources for this page

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