Organization Active NPI

Affinity Therapy Services

  • Speech-Language Pathologist
  • Fayetteville, NC
National Provider Identifier
1285290353
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
AFFINITY THERAPY SERVICES
Practice address
4286 Raeford Rd
Fayetteville, NC 28304-3247
Phone
(910) 849-2959
Fax
(910) 676-7330
NPI assigned
May 14, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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

Authorized official

Name
Ebone Hanna-DwightNPI 1427214428
Title
Speech Pathologist
Phone
(410) 776-9408

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)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

4286 Raeford Rd
Fayetteville, NC 28304-3247

Mailing address

4286 Raeford Rd
Fayetteville, NC 28304-3247
Phone (410) 776-9408

National Provider Directory

National Provider Directory

Locations

2130B Hope Mills Rd
Fayetteville, NC 28304
Phone (910) 849-2959

4286 Raeford Rd
Fayetteville, NC 28304
Phone (910) 483-8304

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1557792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724803200000",
    "number": "1285290353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4286 RAEFORD RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043247",
            "telephone_number": "410-776-9408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4286 RAEFORD RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043247",
            "telephone_number": "910-849-2959",
            "fax_number": "910-676-7330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFINITY THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-14",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A",
        "authorized_official_last_name": "HANNA-DWIGHT",
        "authorized_official_first_name": "EBONE",
        "authorized_official_title_or_position": "SPEECH PATHOLOGIST",
        "authorized_official_telephone_number": "410-776-9408"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; 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.