NPIMap

Organization Active NPI

Acme Therapies Co

  • Speech-Language Pathologist
  • Martinsville, VA
National Provider Identifier
1417475898
Registry record updated Sep 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2202004244 Issued in VA
Legal business name
ACME THERAPIES CO
Practice address
101 Cleveland Ave Ste D
Martinsville, VA 24112-3700
Phone
(276) 806-0662
Fax
(276) 650-4096
NPI assigned
Sep 6, 2017
Last updated
Sep 21, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2017

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

Authorized official

Name
Mrs. Staci Soper, SLPNPI 1376643064
Title
Director
Phone
(276) 806-0662

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU
Occupational Therapist 225X00000X NU
Speech-Language Pathologist 235Z00000X 2202004244 VA Primary

Addresses

Primary practice location

101 Cleveland Ave Ste D
Martinsville, VA 24112-3700

Mailing address

1235 Sam Lions TRL
Martinsville, VA 24112-5336
Phone (276) 806-0662

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171027001022 VA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8022384577 Receives reassigned benefits from 26 practitioners
Practice locations: Danville, VA; Martinsville, VA; Radford, VA; Vinton, VA; Wirtz, VA

National Provider Directory

National Provider Directory

Locations

203 Riverview Dr
Danville, VA 24541
Phone (276) 352-4465

128 Fayette St
Martinsville, VA 24112
Phone (276) 352-4465

1608 W Main St
Radford, VA 24141
Phone (276) 352-4465

209 E Cleveland Ave
Vinton, VA 24179
Phone (276) 352-4465

7195 Booker T Washington Hwy
Unit 3
Wirtz, VA 24184
Phone (276) 352-4465

Practitioners & affiliated clinicians

Practitioners 29

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.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1504656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505952000000",
    "number": "1417475898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 SAM LIONS TRL",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241125336",
            "telephone_number": "276-806-0662",
            "fax_number": "276-650-4096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CLEVELAND AVE STE D",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241123700",
            "telephone_number": "276-806-0662",
            "fax_number": "276-650-4096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACME THERAPIES CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-06",
        "last_updated": "2017-09-21",
        "status": "A",
        "authorized_official_last_name": "SOPER",
        "authorized_official_first_name": "STACI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "276-806-0662",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202004244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinsville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.