Active NPI
Emma Peterson
- Speech-Language Pathologist
- Cornelius, NC
National Provider Identifier
1275252405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 30001923
- Practice address
- 19530 Mt Zion Pkwy
Cornelius, NC 28031-8398 - Phone
- (704) 997-2970
- NPI assigned
- Aug 23, 2022
- Last updated
- Aug 26, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 30001923 | NC | Primary |
Addresses
Primary practice location
19530 Mt Zion Pkwy
Cornelius, NC 28031-8398
Mailing address
1327 Bexton St Apt 307
Charlotte, NC 28273-5096
Phone (860) 391-1870
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
507 Wakefield Dr
Apt C
Charlotte, NC 28209-3148
Phone (704) 285-8207
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Collective Therapy Corp. | Speech-Language Pathologist | Current | Accepting new patients |
Locations
8919 Park Rd
Charlotte, NC 28210
Phone (704) 384-1225
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.
-
- Speech-Language Pathologist
- Charlotte, NC
- NPI 1396380911
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787702400000",
"number": "1275252405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1327 BEXTON ST APT 307",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282735096",
"telephone_number": "860-391-1870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19530 MT ZION PKWY",
"city": "CORNELIUS",
"state": "NC",
"postal_code": "280318398",
"telephone_number": "704-997-2970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERSON",
"first_name": "EMMA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-23",
"last_updated": "2026-08-26",
"certification_date": "2026-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "30001923",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cornelius, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.