NPIMap

Organization Active NPI

First Steps Pediatric Therapy Inc

  • Pediatric Physical Therapist
  • Charlotte, NC
National Provider Identifier
1588729859
Registry record updated Sep 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
7633 Issued in NC
Legal business name
FIRST STEPS PEDIATRIC THERAPY INC
Practice address
2711 Randolph Rd
509
Charlotte, NC 28207-2034
Phone
(704) 491-1455
Fax
(704) 256-4282
NPI assigned
Dec 27, 2006
Last updated
Sep 2, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2009

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

Authorized official

Name
Ms. Rosemary Demello, PTNPI 1124183496
Title
President-Clinical Director
Phone
(704) 256-4281

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 7633 NC Primary
Pediatric Occupational Therapist 225XP0200X
Speech-Language Pathologist 235Z00000X
Speech-Language Pathologist 235Z00000X 8271 NC

Addresses

Primary practice location

2711 Randolph Rd
509
Charlotte, NC 28207-2034

Mailing address

7017 Providence Rd S
Waxhaw, NC 28173-7434
Phone (704) 256-4281

Other identifiers 1

IdentifierTypeStateIssuer
7212073MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
First Steps Pediatric Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2711 Randolph Rd
Ste 509
Charlotte, NC 28207
Phone (704) 256-4281

Practitioners & affiliated clinicians

Practitioners 6

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": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251849600000",
    "number": "1588729859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7017 PROVIDENCE RD S",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281737434",
            "telephone_number": "704-256-4281",
            "fax_number": "704-256-4282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2711 RANDOLPH RD",
            "address_2": "509",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282072034",
            "telephone_number": "704-491-1455",
            "fax_number": "704-256-4282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST STEPS PEDIATRIC THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2009-09-02",
        "status": "A",
        "authorized_official_last_name": "DEMELLO",
        "authorized_official_first_name": "ROSEMARY",
        "authorized_official_title_or_position": "PRESIDENT-CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "704-256-4281",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NC",
            "license": "7633",
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "8271",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7212073",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2009; 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.