NPIMap

Organization Active NPI

Crippled Children'S Hospital

  • Speech-Language Pathologist
  • Richmond, VA
National Provider Identifier
1356564066
Registry record updated Feb 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
H1842 Issued in VA
Legal business name
CRIPPLED CHILDREN'S HOSPITAL
Practice address
206 Twinridge LN Ste a
Children'S Hospital Bon Air Therapy Center
Richmond, VA 23235-5244
Phone
(804) 323-9060
Fax
(804) 323-7576
NPI assigned
Apr 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2010

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

Authorized official

Name
Samuel G Weidman
Title
Vice President & Cfo
Phone
(804) 321-7474

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X H1842 VA
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X H1842 VA
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X H1842 VA Primary

Addresses

Primary practice location

206 Twinridge LN Ste a
Children'S Hospital Bon Air Therapy Center
Richmond, VA 23235-5244

Mailing address

2924 Brook Rd
Children'S Hospital Credentialing Dept
Richmond, VA 23220-1215
Phone (804) 321-7474

Other identifiers 1

IdentifierTypeStateIssuer
004909976MedicaidVA

Other names 1

  • Children's Hospital Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Children'S Hospital20 organizations share this tax ID, including this one

Other organizations with this tax ID 19

Organizations that report the same tax identification number in the National Provider Directory.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266537600000",
    "number": "1356564066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2924 BROOK RD",
            "address_2": "CHILDREN'S HOSPITAL CREDENTIALING DEPT",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232201215",
            "telephone_number": "804-321-7474",
            "fax_number": "804-321-2728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 TWINRIDGE LN STE A",
            "address_2": "CHILDREN'S HOSPITAL BON AIR THERAPY CENTER",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232355244",
            "telephone_number": "804-323-9060",
            "fax_number": "804-323-7576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRIPPLED CHILDREN'S HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2010-02-19",
        "status": "A",
        "authorized_official_last_name": "WEIDMAN",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "VICE PRESIDENT & CFO",
        "authorized_official_telephone_number": "804-321-7474"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "H1842",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "H1842",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "H1842",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004909976",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Children's Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2010; 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.