Active NPI
Therapy Unlimited, LLC
- Rehabilitation Practitioner
- Richmond, VA
National Provider Identifier
1255773040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- License
- 2202005827
- Legal business name
- THERAPY UNLIMITED, LLC
- Practice address
- 309 Wilmer Ave
Richmond, VA 23227-2653 - Phone
- (804) 562-1758
- NPI assigned
- Jul 23, 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
- Ms. Renetta Marcellina St. Julian, CCC-SLP
- Title
- Speech-Language Pathologist
- Phone
- (804) 562-1758
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | 2202005827 | VA | Primary |
| Rehabilitation Practitioner | 225400000X | 2202006255 | VA |
Addresses
Primary practice location
309 Wilmer Ave
Richmond, VA 23227-2653
Mailing address
309 Wilmer Avenue
Richmond, VA 23227
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374537600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1374537600000",
"number": "1255773040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "309 WILMER AVENUE",
"city": "RICHMOND",
"state": "VA",
"postal_code": "23227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "309 WILMER AVE",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232272653",
"telephone_number": "804-562-1758"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THERAPY UNLIMITED, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-07-23",
"last_updated": "2013-07-23",
"status": "A",
"authorized_official_last_name": "ST. JULIAN",
"authorized_official_first_name": "RENETTA",
"authorized_official_middle_name": "MARCELLINA",
"authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
"authorized_official_telephone_number": "804-562-1758",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "CCC-SLP"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Rehabilitation Practitioner",
"state": "VA",
"license": "2202005827",
"primary": true
},
{
"code": "225400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Rehabilitation Practitioner",
"state": "VA",
"license": "2202006255",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.