Organization Active NPI

Capstone Speech Therapy

  • Speech-Language Pathologist
  • Brookhaven, GA
National Provider Identifier
1326407461
Registry record updated Feb 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP006727 Issued in GA
Legal business name
CAPSTONE SPEECH THERAPY
Practice address
4062 Peachtree Rd NE
Suite 121
Brookhaven, GA 30319-3021
Phone
(404) 909-5574
NPI assigned
Feb 17, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2016

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

Authorized official

Name
Darla Darty
Title
Owner
Phone
(404) 909-5574

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X SLP006727 GA Primary

Addresses

Primary practice location

4062 Peachtree Rd NE
Suite 121
Brookhaven, GA 30319-3021

Mailing address

4062 Peachtree Rd NE
Suite 121
Brookhaven, GA 30319-3021

National Provider Directory

National Provider Directory

Locations

4062 Peachtree Rd NE
Ste 121
Brookhaven, GA 30319
Phone (404) 909-5574

NPI Registry JSON

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

{
    "created_epoch": "1455667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455667200000",
    "number": "1326407461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4062 PEACHTREE RD NE",
            "address_2": "SUITE 121",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "303193021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4062 PEACHTREE RD NE",
            "address_2": "SUITE 121",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "303193021",
            "telephone_number": "404-909-5574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPSTONE SPEECH THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-17",
        "last_updated": "2016-02-17",
        "status": "A",
        "authorized_official_last_name": "DARTY",
        "authorized_official_first_name": "DARLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-909-5574"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP006727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookhaven, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2016; 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.