Organization Active NPI

Starfish Therapy PLLC

  • Speech-Language Pathologist
  • Charlotte, NC
National Provider Identifier
1457574279
Registry record updated Jun 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
6011 Issued in NC
Legal business name
STARFISH THERAPY PLLC
Practice address
7631 Buckland Road
Charlotte, NC 28278
Phone
(704) 604-7761
Fax
(815) 346-3472
NPI assigned
Apr 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2010

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

Authorized official

Name
Mrs. Lisa Holly Cyrier, MS CCC SLP
Title
Manager Member
Phone
(704) 604-7761

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 6011 NC Primary

Addresses

Primary practice location

7631 Buckland Road
Charlotte, NC 28278

Mailing address

7631 Buckland Road
Charlotte, NC 28278
Phone (704) 604-7761

National Provider Directory

National Provider Directory

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": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276128000000",
    "number": "1457574279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7631 BUCKLAND ROAD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28278",
            "telephone_number": "704-604-7761",
            "fax_number": "815-346-3472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7631 BUCKLAND ROAD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28278",
            "telephone_number": "704-604-7761",
            "fax_number": "815-346-3472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARFISH THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2010-06-10",
        "status": "A",
        "authorized_official_last_name": "CYRIER",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "HOLLY",
        "authorized_official_title_or_position": "MANAGER MEMBER",
        "authorized_official_telephone_number": "704-604-7761",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS CCC SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "6011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2010; 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.