Active NPI
Child Therapy Innovations
- Speech-Language Pathologist
- Miami, FL
National Provider Identifier
1215276118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA11562
- Legal business name
- CHILD THERAPY INNOVATIONS
- Practice address
- 6401 SW 87TH Ave
Suite 114
Miami, FL 33173-2500 - Phone
- (305) 934-2689
- NPI assigned
- Feb 12, 2013
- 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
- Vanessa Maltby, M.A. CCC-SLP
- Title
- Owner
- Phone
- (305) 934-2689
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SA11562 | FL | Primary |
Addresses
Primary practice location
6401 SW 87TH Ave
Suite 114
Miami, FL 33173-2500
Mailing address
PO Box 558263
Miami, FL 33255-8263
Phone (305) 934-2689
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003735600 | Medicaid | FL | |
| 006782200 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
9370 SW 72nd St
Ste 213
Miami, FL 33173
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360627200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1360627200000",
"number": "1215276118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 558263",
"city": "MIAMI",
"state": "FL",
"postal_code": "332558263",
"telephone_number": "305-934-2689",
"fax_number": "786-409-7677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6401 SW 87TH AVE",
"address_2": "SUITE 114",
"city": "MIAMI",
"state": "FL",
"postal_code": "331732500",
"telephone_number": "305-934-2689"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHILD THERAPY INNOVATIONS",
"organizational_subpart": "NO",
"enumeration_date": "2013-02-12",
"last_updated": "2013-02-12",
"status": "A",
"authorized_official_last_name": "MALTBY",
"authorized_official_first_name": "VANESSA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "305-934-2689",
"authorized_official_credential": "M.A. CCC-SLP"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA11562",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003735600",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "006782200",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.