Active NPI
Affinity Therapy Services
- Speech-Language Pathologist
- Fayetteville, NC
National Provider Identifier
1285290353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ebone Hanna-Dwight
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 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 DirectoryLocations
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.
-
- Speech-Language Pathologist
- Fayetteville, NC
- NPI 1427214428
-
- Speech-Language Pathologist
- Gastonia, NC
- NPI 1912576661
-
- Behavior Technician
- Fayetteville, NC
- NPI 1730939133
-
- Behavior Analyst
- Las Vegas, NV
- NPI 1225577695
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.