Phoenix Rising Speech-Language Therapy Services

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

PHOENIX RISING SPEECH-LANGUAGE THERAPY SERVICES

Practice address

313 Golden Rod LN
Lexington, NC 27295-6889

Phone

(336) 337-2905

NPI assigned

Sep 24, 2018

Last updated

Sep 24, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jessica Burr, MA, CCC-SLP

Title

Owner

Phone

(336) 337-2905

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1537747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537747200000",
    "number": "1477037679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 GOLDEN ROD LN",
            "city": "LEXINGTON",
            "state": "NC",
            "postal_code": "272956889",
            "telephone_number": "336-337-2905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 GOLDEN ROD LN",
            "city": "LEXINGTON",
            "state": "NC",
            "postal_code": "272956889",
            "telephone_number": "336-337-2905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX RISING SPEECH-LANGUAGE THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-24",
        "last_updated": "2018-09-24",
        "status": "A",
        "authorized_official_last_name": "BURR",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-337-2905",
        "authorized_official_credential": "MA,  CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2018; 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.