Organization Active NPI

Open Pathyways Therapy, Inc

  • Speech-Language Pathologist
  • Vancouver, WA
National Provider Identifier
1396454633
Registry record updated Nov 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
OPEN PATHYWAYS THERAPY, INC
Practice address
1221 NE 125TH Ave
Vancouver, WA 98684-5725
Phone
(701) 484-3486
NPI assigned
Nov 15, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2022

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

Authorized official

Name
Mr. Andrew Carl Bernhard, M.A., CCC-SLP
Title
Speech-Language Pathologist
Phone
(701) 484-3486

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

1221 NE 125TH Ave
Vancouver, WA 98684-5725

Mailing address

1221 NE 125TH Ave
Vancouver, WA 98684-5725
Phone (701) 484-3486

Other identifiers 1

IdentifierTypeStateIssuer
1689187619MedicaidWA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1668470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669161600000",
    "number": "1396454633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 NE 125TH AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986845725",
            "telephone_number": "701-484-3486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 NE 125TH AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986845725",
            "telephone_number": "701-484-3486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN PATHYWAYS THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-15",
        "last_updated": "2022-11-23",
        "certification_date": "2022-11-23",
        "status": "A",
        "authorized_official_last_name": "BERNHARD",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "CARL",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "701-484-3486",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.A., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1689187619",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2022; 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.