Active NPI
Starfish Therapy PLLC
- Speech-Language Pathologist
- Charlotte, NC
National Provider Identifier
1457574279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 6011
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 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 DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- Charlotte, NC
- NPI 1942514096
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.