Individual provider Active NPI

Bobbie Sue Maiorano, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Martinsville, VA
National Provider Identifier
1255010872
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2202010461 Issued in VA
Practice address
3300 Kings Mountain Rd
Martinsville, VA 24112-6798
Phone
(276) 634-4700
NPI assigned
Jul 12, 2023
Last updated
Sep 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2202010461 VA Primary
Speech-Language Pathologist 235Z00000X SA18738 FL

Addresses

Primary practice location

3300 Kings Mountain Rd
Martinsville, VA 24112-6798

Mailing address

PO Box 8958
Collinsville, VA 24078-8958
Phone (407) 484-7658

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SA18738FLMDSpeech-Language Pathologist
2202010461VAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Henry County School Board Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1689120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1255010872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8958",
            "city": "COLLINSVILLE",
            "state": "VA",
            "postal_code": "240788958",
            "telephone_number": "407-484-7658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 KINGS MOUNTAIN RD",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241126798",
            "telephone_number": "276-634-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAIORANO",
        "first_name": "BOBBIE SUE",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-12",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202010461",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA18738",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinsville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; 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.