Thera Peds PLLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

103902 Issued in TX

Legal business name

THERA PEDS PLLC

Practice address

1925 E Belt Line Rd
Ste 475
Carrollton, TX 75006-5801

Phone

(252) 657-8901

NPI assigned

Jul 1, 2015

Organization subpart

No

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

Authorized official

Name

Onzaria Davis, CCC-SLP

Title

Speech Language Pathologist/Manager

Phone

(252) 657-8901

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1435708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442275200000",
    "number": "1508249053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5508 LONGHORN DR",
            "city": "THE COLONY",
            "state": "TX",
            "postal_code": "750563844",
            "telephone_number": "252-657-8901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 E BELT LINE RD",
            "address_2": "STE 475",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750065801",
            "telephone_number": "252-657-8901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERA PEDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-01",
        "last_updated": "2015-09-15",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "ONZARIA",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST/MANAGER",
        "authorized_official_telephone_number": "252-657-8901",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "103902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Carrollton, TX
• Providers in Carrollton, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2015; 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.