Individual provider Active NPI

Carla Jo Thomas, SLP-CCC

  • Speech-Language Pathologist
  • Charlottesville, VA
National Provider Identifier
1518795285
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2202003571 Issued in VA
Practice address
2600 Barracks Rd
Charlottesville, VA 22901-2271
Phone
(434) 963-4198
NPI assigned
Jul 24, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2202003571 VA Primary

Addresses

Primary practice location

2600 Barracks Rd
Charlottesville, VA 22901-2271

Mailing address

45 Boxwood LN
Palmyra, VA 22963-5277
Phone (434) 960-4452

Other practice location 1

109 Crofton Pl
Palmyra, VA 22963-3300
Phone (434) 589-9588

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Functional Pathways Preferred of Tennessee LLC Speech-Language Pathologist CurrentSince Dec 29, 2024 Accepting new patients
Ivyrehab Sept, LLC Speech-Language Pathologist PastSince Mar 6, 2024 Accepting new patients
Ivyrehab Sept, LLC Past Accepting new patients

Locations

10133 Sherrill Blvd
Ste 200
Knoxville, TN 37932
Phone (865) 392-2847

1410 N Augusta St
#A
Staunton, VA 24401

3317 Ocean Shore Ave
Virginia Beach, VA 23451
Phone (757) 232-3179

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1721779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1518795285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 BOXWOOD LN",
            "city": "PALMYRA",
            "state": "VA",
            "postal_code": "229635277",
            "telephone_number": "434-960-4452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 BARRACKS RD",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229012271",
            "telephone_number": "434-963-4198"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "109 Crofton Pl",
            "address_purpose": "LOCATION",
            "city": "Palmyra",
            "state": "VA",
            "postal_code": "229633300",
            "country_code": "US",
            "telephone_number": "434-589-9588",
            "fax_number": "434-589-4096",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "CARLA",
        "middle_name": "JO",
        "credential": "SLP-CCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-24",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202003571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; 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.