Active NPI
Family Speech Therapy Services, PLLC
- Speech-Language Pathologist
- Lumberton, NC
National Provider Identifier
1336391002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 3319
- Legal business name
- FAMILY SPEECH THERAPY SERVICES, PLLC
- Practice address
- 214 Tartan Rd
Lumberton, NC 28358-2691 - Phone
- (828) 406-0439
- NPI assigned
- Oct 14, 2008
- 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
- Mr. John S Maloney, MA, CCC/SLP
- Title
- President/Organizer
- Phone
- (828) 406-0439
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 3319 | NC | Primary |
Addresses
Primary practice location
214 Tartan Rd
Lumberton, NC 28358-2691
Mailing address
214 Tartan Rd
Lumberton, NC 28358-2691
Phone (828) 406-0439
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7412680 | Medicaid | NC | |
| 7412679 | Medicaid | NC |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- Lumberton, NC
- NPI 1548389026
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223942400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1224115200000",
"number": "1336391002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "214 TARTAN RD",
"city": "LUMBERTON",
"state": "NC",
"postal_code": "283582691",
"telephone_number": "828-406-0439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 TARTAN RD",
"city": "LUMBERTON",
"state": "NC",
"postal_code": "283582691",
"telephone_number": "828-406-0439"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY SPEECH THERAPY SERVICES, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-10-14",
"last_updated": "2008-10-16",
"status": "A",
"authorized_official_last_name": "MALONEY",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PRESIDENT/ORGANIZER",
"authorized_official_telephone_number": "828-406-0439",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MA, CCC/SLP"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "3319",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7412680",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7412679",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lumberton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.