Gateway Pediatric Therapy

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

10547 Issued in NC

Legal business name

GATEWAY PEDIATRIC THERAPY

Practice address

501 Gateway Dr
Suite 101 E
Clayton, NC 27520-2277

Phone

(919) 578-8096

Fax

(844) 407-5282

NPI assigned

Jan 15, 2016

Organization subpart

No

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

Authorized official

Name

Randi Thomas, MA, CCC-SLPNPI 1184063034

Title

Managing Partner/SLP

Phone

(919) 578-8096

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Randi Lynn Thomas, MA, CCC-SLP

  • Speech-Language Pathologist
  • Palo Alto, CA
  • NPI 1184063034
  NPD (past) Authorized official

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

{
    "created_epoch": "1452816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452816000000",
    "number": "1477910859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1348 ILEAGNES RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276033436",
            "telephone_number": "407-619-7082",
            "fax_number": "844-407-5282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 GATEWAY DR",
            "address_2": "SUITE 101 E",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275202277",
            "telephone_number": "919-578-8096",
            "fax_number": "844-407-5282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY PEDIATRIC THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-15",
        "last_updated": "2016-01-15",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "RANDI",
        "authorized_official_title_or_position": "MANAGING PARTNER/SLP",
        "authorized_official_telephone_number": "919-578-8096",
        "authorized_official_credential": "MA, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "10547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Friendly Forever Homecare, LLC
• Front Street
• Emily Victoria Fry, LPC-A, LCAS-A, NCC
• Liliana Galvan, QP, MSW, LCSWA
• Christina Gambino
• Donald Thomas Gentrup, PHARMD
• Megan Elizabeth George
• Joy E Gerasco, DMD, PHD
• Natalia Vasilyevna Ghidora, FNP
• Gifted Visions LLC

• Speech-Language Pathologist in Clayton, NC
• Providers in Clayton, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2016; 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.