NPIMap

Organization Active NPI

Cardinal Pediatric Therapy

  • Speech-Language Pathologist
  • Wytheville, VA
National Provider Identifier
1427581024
Registry record updated Apr 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2202006031 Issued in VA
Legal business name
CARDINAL PEDIATRIC THERAPY
Practice address
1268 Black Lick Rd
Wytheville, VA 24382-5812
Phone
(276) 733-5692
NPI assigned
Apr 10, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2017

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

Authorized official

Name
Julia Burnett, CCC-SLP
Title
Owner
Phone
(276) 733-5692

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 235Z00000X 2202006031 VA Primary

Addresses

Primary practice location

1268 Black Lick Rd
Wytheville, VA 24382-5812

Mailing address

1268 Black Lick Rd
Wytheville, VA 24382-5812
Phone (276) 733-5692

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1491782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491782400000",
    "number": "1427581024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1268 BLACK LICK RD",
            "city": "WYTHEVILLE",
            "state": "VA",
            "postal_code": "243825812",
            "telephone_number": "276-733-5692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1268 BLACK LICK RD",
            "city": "WYTHEVILLE",
            "state": "VA",
            "postal_code": "243825812",
            "telephone_number": "276-733-5692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDINAL PEDIATRIC THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-10",
        "last_updated": "2017-04-10",
        "status": "A",
        "authorized_official_last_name": "BURNETT",
        "authorized_official_first_name": "JULIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "276-733-5692",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202006031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wytheville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2017; 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.