Interactive Therapies & Fitness, Inc.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

5388 Issued in NC

Legal business name

INTERACTIVE THERAPIES & FITNESS, INC.

Practice address

3329 Owls Roost Rd
Greensboro, NC 27410-9746

Phone

(336) 209-6927

Fax

(336) 294-4216

NPI assigned

Mar 3, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Tiffany W. Dohner, M.A., CCC-SLPNPI 1932223807

Title

Owner

Phone

(336) 209-6927

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• InterActive Therapies Former legal business name

Practitioners 1

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

• Tiffany W Dohner, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Greensboro, NC
  • NPI 1932223807
  NPD (past) Authorized official

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

{
    "created_epoch": "1172880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356470728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3329 OWLS ROOST RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274109746",
            "telephone_number": "336-209-6927",
            "fax_number": "336-294-4216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3329 OWLS ROOST RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274109746",
            "telephone_number": "336-209-6927",
            "fax_number": "336-294-4216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERACTIVE THERAPIES & FITNESS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DOHNER",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-209-6927",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.A., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "5388",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7412404",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7211502",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7411719",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7412106",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "InterActive Therapies",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Speech-Language Pathologist in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.