NPIMap

Organization Active NPI

Blue Mountain Therapy

  • Speech-Language Pathologist
  • Abingdon, VA
National Provider Identifier
1437813524
Registry record updated Oct 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
BLUE MOUNTAIN THERAPY
Practice address
17507 Lee Hwy
Abingdon, VA 24210-7835
Phone
(276) 525-6043
NPI assigned
Oct 26, 2021
Organization subpart
Yes
Parent organization
BLUE MOUNTAIN THERAPYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 26, 2021

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

Authorized official

Name
Melissa Hope Henderson
Title
HR
Phone
(276) 525-4460

Specialties & licenses 1

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

Addresses

Primary practice location

17507 Lee Hwy
Abingdon, VA 24210-7835

Mailing address

17507 Lee Hwy
Abingdon, VA 24210-7835

Other practice location 1

440 Park Ave NW
Norton, VA 24273-2114
Phone (276) 525-6043

Other practice location 2

800 E Main St Ste 200
Wytheville, VA 24382-3322
Phone (276) 525-6043

Other names 1

  • Blue Mountain Therapy Outpatient Speech Therapy Other name

National Provider Directory

National Provider Directory
Tax ID family
Blue Mountain Therapy LLC6 organizations share this tax ID, including this one
Part of
Blue Mountain Therapy LLC

Other organizations with this tax ID 5

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1635206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635206400000",
    "number": "1437813524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17507 LEE HWY",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242107835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17507 LEE HWY",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242107835",
            "telephone_number": "276-525-6043"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "440 Park Ave NW",
            "address_purpose": "LOCATION",
            "city": "Norton",
            "state": "VA",
            "postal_code": "242732114",
            "country_code": "US",
            "telephone_number": "276-525-6043",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 E Main St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Wytheville",
            "state": "VA",
            "postal_code": "243823322",
            "country_code": "US",
            "telephone_number": "276-525-6043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BLUE MOUNTAIN THERAPY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BLUE MOUNTAIN THERAPY",
        "enumeration_date": "2021-10-26",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-07",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "HOPE",
        "authorized_official_title_or_position": "HR",
        "authorized_official_telephone_number": "276-525-4460"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blue Mountain Therapy Outpatient Speech Therapy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Abingdon, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; 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.