Active NPI
Pediatric Learning Center, Inc.
- Speech-Language Pathologist
- Millington, TN
National Provider Identifier
1205543550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- PEDIATRIC LEARNING CENTER, INC.
- Practice address
- 8496 Wilkinsville Rd Ste 101-128
Millington, TN 38053-1546 - Phone
- (901) 290-8558
- NPI assigned
- Nov 4, 2022
- 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
- Elizabeth McMahon Kraus, MA, CCC-SLP
- Title
- Executive Director
- Phone
- (901) 290-8558
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | |||
| Pediatric Occupational Therapist | 225XP0200X | |||
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
8496 Wilkinsville Rd Ste 101-128
Millington, TN 38053-1546
Mailing address
8496 Wilkinsville Rd Ste 101-128
Millington, TN 38053-1546
Phone (901) 290-8558
National Provider Directory
National Provider DirectoryLocations
8496 Wilkinsville Rd
Ste 101
Millington, TN 38053
Phone (256) 604-7016
8496 Wilkinsville Rd
Ste 101128
Millington, TN 38053
Phone (901) 290-8558
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- Cordova, TN
- NPI 1972685501
-
- Occupational Therapist
- Memphis, TN
- NPI 1710553631
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667520000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1667520000000",
"number": "1205543550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8496 WILKINSVILLE RD STE 101-128",
"city": "MILLINGTON",
"state": "TN",
"postal_code": "380531546",
"telephone_number": "901-290-8558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8496 WILKINSVILLE RD STE 101-128",
"city": "MILLINGTON",
"state": "TN",
"postal_code": "380531546",
"telephone_number": "901-290-8558"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEDIATRIC LEARNING CENTER, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-04",
"last_updated": "2022-11-04",
"certification_date": "2022-11-04",
"status": "A",
"authorized_official_last_name": "MCMAHON KRAUS",
"authorized_official_first_name": "ELIZABETH",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "901-290-8558",
"authorized_official_credential": "MA, CCC-SLP"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist, Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist, Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Millington, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.