Organization Active NPI

Charlotte Pediatric Therapy

  • Speech-Language Pathologist
  • Charlotte, NC
National Provider Identifier
1407976400
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
1266 Issued in NC
Legal business name
CHARLOTTE PEDIATRIC THERAPY
Practice address
7001 Wallace Rd
Charlotte, NC 28212-6880
Phone
(704) 535-6510
NPI assigned
Mar 31, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Louise Black Felton, M.ED., CCC-SLPNPI 1013126523
Title
Speech-Language Pathologist
Phone
(704) 536-5510

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 1266 NC Primary

Addresses

Primary practice location

7001 Wallace Rd
Charlotte, NC 28212-6880

Mailing address

2128 Kaybird LN
Charlotte, NC 28270-1108
Phone (704) 844-8031

National Provider Directory

National Provider Directory
Tax ID family
Charlotte Pediatric Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

7001 Wallace Rd
Charlotte, NC 28212
Phone (704) 535-6510

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1175299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407976400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2128 KAYBIRD LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282701108",
            "telephone_number": "704-844-8031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7001 WALLACE RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282126880",
            "telephone_number": "704-535-6510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLOTTE PEDIATRIC THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FELTON",
        "authorized_official_first_name": "LOUISE",
        "authorized_official_middle_name": "BLACK",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "704-536-5510",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.ED., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "1266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • 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.