Organization Active NPI

Child Therapy Innovations

  • Speech-Language Pathologist
  • Miami, FL
National Provider Identifier
1215276118
Registry record updated Feb 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA11562 Issued in FL
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

Updated by the provider on Feb 12, 2013

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)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
003735600MedicaidFL
006782200MedicaidFL

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.