NPIMap

Organization Active NPI

Pediatric Therapy Network

  • Pediatric Physical Therapist
  • Hickory, NC
National Provider Identifier
1225459605
Registry record updated Jan 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
8732 Issued in NC
Legal business name
PEDIATRIC THERAPY NETWORK
Practice address
1040 Southgate Corporate Park SW
Hickory, NC 28602-1518
Phone
(828) 358-3115
Fax
(866) 433-2198
NPI assigned
Jan 2, 2014
Last updated
Jan 20, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2021

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

Authorized official

Name
Heather Buckley Landry, PTNPI 1528378171
Title
Owner/Physical Therpaist
Phone
(828) 358-3115

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 7

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 8732 NC
Pediatric Physical Therapist 2251P0200X 8732 NC Primary
Occupational Therapist 225X00000X NU
Pediatric Occupational Therapist 225XP0200X NU
Speech-Language Pathologist 235Z00000X NU
Feeding, Eating & Swallowing Occupational Therapist 225XF0002X NU
Community/Behavioral Health Agency 251S00000X 52602014002 NC

Addresses

Primary practice location

1040 Southgate Corporate Park SW
Hickory, NC 28602-1518

Mailing address

PO Box 1290
Hickory, NC 28603-1290
Phone (828) 358-3115

Other practice location 1

1154 Lenoir Rhyne Blvd SE
Hickory, NC 28602-5168
Phone (828) 358-3115

Other identifiers 1

IdentifierTypeStateIssuer
1528378171MedicaidNC

National Provider Directory

National Provider Directory

Locations

1040 Southgate Corporate Park SW
Hickory, NC 28602
Phone (828) 358-3115

1154 Lenoir Rhyne Blvd SE
Hickory, NC 28602
Phone (828) 244-3077

Practitioners & affiliated clinicians

Practitioners 33

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.

View all 33

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1388620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611100800000",
    "number": "1225459605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1290",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286031290",
            "telephone_number": "828-358-3115",
            "fax_number": "866-433-2198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 SOUTHGATE CORPORATE PARK SW",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286021518",
            "telephone_number": "828-358-3115",
            "fax_number": "866-433-2198"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1154 Lenoir Rhyne Blvd SE",
            "address_purpose": "LOCATION",
            "city": "Hickory",
            "state": "NC",
            "postal_code": "286025168",
            "country_code": "US",
            "telephone_number": "828-358-3115",
            "fax_number": "828-771-7905",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PEDIATRIC THERAPY NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-02",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A",
        "authorized_official_last_name": "LANDRY",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "BUCKLEY",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERPAIST",
        "authorized_official_telephone_number": "828-358-3115",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "8732",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NC",
            "license": "8732",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225XF0002X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Feeding, Eating & Swallowing",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "52602014002",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1528378171",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2021; 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.