Active NPI
Paige Kristina Pfeffer
- Speech-Language Pathologist
- Towson, MD
National Provider Identifier
1255933172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 09903
- Practice address
- 6901 N Charles St
Towson, MD 21204-3780 - Phone
- (443) 809-4554
- NPI assigned
- Nov 16, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 02136L | MD | |
| Speech-Language Pathologist | 235Z00000X | 09903 | MD | Primary |
Addresses
Primary practice location
6901 N Charles St
Towson, MD 21204-3780
Mailing address
44 Belfast Rd
Timonium, MD 21093-4204
Phone (717) 571-1406
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 09903 | MD | MD | Occupational Therapist |
| 02136L | MD | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639440000000",
"number": "1255933172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44 BELFAST RD",
"city": "TIMONIUM",
"state": "MD",
"postal_code": "210934204",
"telephone_number": "717-571-1406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6901 N CHARLES ST",
"city": "TOWSON",
"state": "MD",
"postal_code": "212043780",
"telephone_number": "443-809-4554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PFEFFER",
"first_name": "PAIGE",
"middle_name": "KRISTINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-16",
"last_updated": "2021-12-14",
"certification_date": "2021-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MD",
"license": "02136L",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MD",
"license": "09903",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Towson, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.