Active NPI
Paige Landry, MS
- Speech-Language Pathologist
- West Memphis, AR
National Provider Identifier
1346076379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 202927
- Practice address
- 305 N 5TH St
West Memphis, AR 72301-3213 - Phone
- (870) 400-0179
- NPI assigned
- Sep 9, 2024
- Last updated
- Sep 9, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 | 202927 | AR | Primary |
Addresses
Primary practice location
305 N 5TH St
West Memphis, AR 72301-3213
Mailing address
668 S Mansfield St
Memphis, TN 38104-4863
Phone (847) 650-2244
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 202927 | AR | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapeutic Focus, L.L.C. | Speech-Language Pathologist | Current | Accepting new patients |
Locations
305 N 5th St
West Memphis, AR 72301
Phone (870) 400-0179
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.
-
- Occupational Therapist
- West Memphis, AR
- NPI 1972875896
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725840000000",
"number": "1346076379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "668 S MANSFIELD ST",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381044863",
"telephone_number": "847-650-2244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 N 5TH ST",
"city": "WEST MEMPHIS",
"state": "AR",
"postal_code": "723013213",
"telephone_number": "870-400-0179"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANDRY",
"first_name": "PAIGE",
"credential": "MS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-09-09",
"last_updated": "2024-09-09",
"certification_date": "2024-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AR",
"license": "202927",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Memphis, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.