Active NPI
Carolina Infinite Therapy PLLC
- Speech-Language Pathologist
- Elizabeth City, NC
National Provider Identifier
1598509887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- CAROLINA INFINITE THERAPY PLLC
- Practice address
- 400 S Road St Ste 9
Elizabeth City, NC 27909-4900 - Phone
- (252) 333-7999
- NPI assigned
- Jun 21, 2024
- Last updated
- Jun 21, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Erica Bradley, CCC-SLP
- Title
- Owner
- Phone
- (252) 333-7999
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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | |||
| Physical Therapist | 225100000X | |||
| Physical Therapy Assistant | 225200000X | |||
| Occupational Therapist | 225X00000X | |||
| Speech-Language Assistant | 2355S0801X | |||
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
400 S Road St Ste 9
Elizabeth City, NC 27909-4900
Mailing address
PO Box 387
Sunbury, NC 27979-0387
Phone (252) 333-7999
National Provider Directory
National Provider DirectoryLocations
400 S Road St
Ste 9
Elizabeth City, NC 27909
Phone (252) 333-7999
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Speech-Language Pathologist
- Edenton, NC
- NPI 1841877057
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718928000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1718928000000",
"number": "1598509887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 387",
"city": "SUNBURY",
"state": "NC",
"postal_code": "279790387",
"telephone_number": "252-333-7999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 S ROAD ST STE 9",
"city": "ELIZABETH CITY",
"state": "NC",
"postal_code": "279094900",
"telephone_number": "252-333-7999"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAROLINA INFINITE THERAPY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-06-21",
"last_updated": "2024-06-21",
"certification_date": "2024-06-21",
"status": "A",
"authorized_official_last_name": "BRADLEY",
"authorized_official_first_name": "ERICA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "252-333-7999",
"authorized_official_credential": "CCC-SLP"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225200000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapy Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "2355S0801X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elizabeth City, NC
- Carolina Adventist Retirement Systems Inc (W R Winslow Memorial Home)
- Carolina Behavioral and Therapeutic Services
- Carolina Care and Management LLC (Parkton Place)
- Carolina Coastal Plastic Surgery, PC
- Carolina East Home Care Agency Inc
- Carolina Plastic Surgery Specialists Inc
- Carolina Surgical Care Associates, P. a.
- Brian Matthew Carroll, CRNA
- Carter Medical Associates
- Barbara Ann Carter, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.