Pediatric Feeding and Speech Therapy Associates, PA

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

4252 Issued in NC

Legal business name

PEDIATRIC FEEDING AND SPEECH THERAPY ASSOCIATES, PA

Practice address

8820 Blooming Arbor St
Huntersville, NC 28078-5602

Phone

(704) 619-2167

Fax

(704) 948-6963

NPI assigned

Nov 18, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Glen Mowers

Title

Vice President

Phone

(704) 619-2167

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Karen M Mowers, M.A. CCC/SLP

  • Speech-Language Pathologist
  • Huntersville, NC
  • NPI 1093969644
  NPD (past)

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

{
    "created_epoch": "1163808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396819736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 601",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280700601",
            "telephone_number": "704-619-2167",
            "fax_number": "704-948-6963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8820 BLOOMING ARBOR ST",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280785602",
            "telephone_number": "704-619-2167",
            "fax_number": "704-948-6963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC FEEDING AND SPEECH THERAPY ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOWERS",
        "authorized_official_first_name": "GLEN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "704-619-2167"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "4252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "1060C",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "741060C",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• PBS Diagnostics, P.C.
• Peaceful Shore Therapy, PLLC
• Peak Family Health PLLC
• Amber Siobhan Pearce, MA, LCMHC
• Pediatric Consultant and Professional Writing Services, PLLC (Carolinas Pediatrics and Primary Care)
• Sheneen Peele
• Aimee Elizabeth Peer, ABA
• Carol Faye Peindl, MSN RN CS
• Gabriellepelletier Pelletier
• Jose Raul Pena, M.D.

• Speech-Language Pathologist in Huntersville, NC
• Providers in Huntersville, 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.