Active NPI
Peak Development and Rehab Therapy, LLC
- Speech-Language Pathologist
- Tazewell, VA
National Provider Identifier
1225754864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- PEAK DEVELOPMENT AND REHAB THERAPY, LLC
- Practice address
- 105 Peakwood Dr
Tazewell, VA 24651-9527 - Phone
- (540) 921-0681
- NPI assigned
- Oct 14, 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
- Ms. Regina Hayes, SLP
- Title
- Owner/Speech-Language Pathologist
- Phone
- (540) 921-0681
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
105 Peakwood Dr
Tazewell, VA 24651-9527
Mailing address
PO Box 662
Tazewell, VA 24651-0662
Phone (540) 921-0681
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- Bluefield, VA
- NPI 1801245220
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665705600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1665705600000",
"number": "1225754864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 662",
"city": "TAZEWELL",
"state": "VA",
"postal_code": "246510662",
"telephone_number": "540-921-0681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 PEAKWOOD DR",
"city": "TAZEWELL",
"state": "VA",
"postal_code": "246519527",
"telephone_number": "540-921-0681"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEAK DEVELOPMENT AND REHAB THERAPY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-10-14",
"last_updated": "2022-10-14",
"certification_date": "2022-10-14",
"status": "A",
"authorized_official_last_name": "HAYES",
"authorized_official_first_name": "REGINA",
"authorized_official_title_or_position": "OWNER/SPEECH-LANGUAGE PATHOLOGIST",
"authorized_official_telephone_number": "540-921-0681",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "SLP"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tazewell, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.