Active NPI
Uplift Pediatric Therapy LLC
- Speech-Language Pathologist
- Mount Airy, NC
National Provider Identifier
1417709676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- UPLIFT PEDIATRIC THERAPY LLC
- Practice address
- 127 N Franklin Rd
Mount Airy, NC 27030-3315 - Phone
- (336) 401-0576
- NPI assigned
- Apr 2, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Anna Jade Hughes Westmoreland, M.S. CCC-SLP
- Title
- Speech-Language Pathologist
- Phone
- (336) 401-0576
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | |||
| Occupational Therapist | 225X00000X | |||
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
127 N Franklin Rd
Mount Airy, NC 27030-3315
Mailing address
127 N Franklin Rd
Mount Airy, NC 27030-3315
Phone (336) 415-1879
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Assistant
- Mount Airy, NC
- NPI 1295536688
-
- Occupational Therapist
- Mount Airy, NC
- NPI 1861690489
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712016000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1715817600000",
"number": "1417709676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "127 N FRANKLIN RD",
"city": "MOUNT AIRY",
"state": "NC",
"postal_code": "270303315",
"telephone_number": "336-415-1879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "127 N FRANKLIN RD",
"city": "MOUNT AIRY",
"state": "NC",
"postal_code": "270303315",
"telephone_number": "336-401-0576"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UPLIFT PEDIATRIC THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-02",
"last_updated": "2024-05-16",
"certification_date": "2024-05-16",
"status": "A",
"authorized_official_last_name": "HUGHES WESTMORELAND",
"authorized_official_first_name": "ANNA",
"authorized_official_middle_name": "JADE",
"authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
"authorized_official_telephone_number": "336-401-0576",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "M.S. CCC-SLP"
},
"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": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Airy, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.