Organization Active NPI

Pediatric Therapeutics, Inc

  • Speech-Language Pathologist
  • Newtown, PA
National Provider Identifier
1407981053
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
PEDIATRIC THERAPEUTICS, INC
Practice address
760 Newtown Yardley Rd
Suite 114
Newtown, PA 18940-1748
Phone
(215) 497-0894
Fax
(215) 497-0896
NPI assigned
Feb 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mrs. Lee Ann Fancher, P.T.
Title
Owner
Phone
(215) 497-0894

Specialties & licenses 3

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

Addresses

Primary practice location

760 Newtown Yardley Rd
Suite 114
Newtown, PA 18940-1748

Mailing address

760 Newtown Yardley Rd
Suite 114
Newtown, PA 18940-1748
Phone (215) 497-0894

Other identifiers 1

IdentifierTypeStateIssuer
1000058880009MedicaidPA

National Provider Directory

National Provider Directory

Locations

760 Newtown Yardley Rd
Ste 114
Newtown, PA 18940
Phone (215) 497-0894

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1407981053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 NEWTOWN YARDLEY RD",
            "address_2": "SUITE 114",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189401748",
            "telephone_number": "215-497-0894",
            "fax_number": "215-497-0896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 NEWTOWN YARDLEY RD",
            "address_2": "SUITE 114",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189401748",
            "telephone_number": "215-497-0894",
            "fax_number": "215-497-0896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC THERAPEUTICS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "FANCHER",
        "authorized_official_first_name": "LEE ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-497-0894",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000058880009",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newtown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.