Organization Active NPI

Columbus Pediatric Therapy, Inc.

  • Speech-Language Pathologist
  • Whiteville, NC
National Provider Identifier
1467639955
Registry record updated Dec 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
COLUMBUS PEDIATRIC THERAPY, INC.
Practice address
3450 James B White Hwy S
Whiteville, NC 28472-8678
Phone
(910) 625-5443
Fax
(910) 641-4152
NPI assigned
Jan 28, 2008
Last updated
Dec 9, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2008

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

Authorized official

Name
Mrs. Ashly Hope Valas, M.A., CCC-SLPNPI 1396807384
Title
Speech/Language Pathologist
Phone
(910) 625-5443

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X NU
Speech-Language Pathologist 235Z00000X NU Primary

Addresses

Primary practice location

3450 James B White Hwy S
Whiteville, NC 28472-8678

Mailing address

PO Box 220
Nakina, NC 28455-0220
Phone (910) 625-5443

Other identifiers 1

IdentifierTypeStateIssuer
7200167MedicaidNC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228780800000",
    "number": "1467639955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 220",
            "city": "NAKINA",
            "state": "NC",
            "postal_code": "284550220",
            "telephone_number": "910-625-5443",
            "fax_number": "910-641-4152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 JAMES B WHITE HWY S",
            "city": "WHITEVILLE",
            "state": "NC",
            "postal_code": "284728678",
            "telephone_number": "910-625-5443",
            "fax_number": "910-641-4152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBUS PEDIATRIC THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-28",
        "last_updated": "2008-12-09",
        "status": "A",
        "authorized_official_last_name": "VALAS",
        "authorized_official_first_name": "ASHLY",
        "authorized_official_middle_name": "HOPE",
        "authorized_official_title_or_position": "SPEECH/LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "910-625-5443",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.A., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7200167",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Whiteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2008; 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.