NPIMap

Organization Active NPI

Advanced Pediatric Therapies, LLC

  • Speech-Language Pathologist
  • Sparks, NV
National Provider Identifier
1629148200
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP 672 Issued in NV
Legal business name
ADVANCED PEDIATRIC THERAPIES, LLC
Practice address
1625 E Prater Way Ste 107
Sparks, NV 89434-8963
Phone
(775) 825-4744
Fax
(775) 351-1644
NPI assigned
Nov 9, 2006
Last updated
Jun 6, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

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

Authorized official

Name
Julie Bemus Ortiz, M.S. CCC SLPNPI 1942379961
Title
Owner Director
Phone
(775) 825-4744

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X SP 672 NV Primary

Addresses

Primary practice location

1625 E Prater Way Ste 107
Sparks, NV 89434-8963

Mailing address

1025 Roberta LN
Sparks, NV 89431-1893
Phone (775) 825-4744

Other identifiers 2

IdentifierTypeStateIssuer
100506123MedicaidNV
668131OtherNVBCBS

National Provider Directory

National Provider Directory
Tax ID family
Advanced Pediatric Therapies11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Locations

1025 Roberta Ln
Sparks, NV 89431
Phone (775) 825-4744

1625 E Prater Way
Sparks, NV 89434
Phone (775) 352-6682

895 Roberta Ln
Ste 101A
Sparks, NV 89431
Phone (775) 825-4744

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": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717632000000",
    "number": "1629148200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 ROBERTA LN",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894311893",
            "telephone_number": "775-825-4744",
            "fax_number": "775-351-1644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 E PRATER WAY STE 107",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894348963",
            "telephone_number": "775-825-4744",
            "fax_number": "775-351-1644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PEDIATRIC THERAPIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A",
        "authorized_official_last_name": "ORTIZ",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "BEMUS",
        "authorized_official_title_or_position": "OWNER DIRECTOR",
        "authorized_official_telephone_number": "775-825-4744",
        "authorized_official_credential": "M.S. CCC SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NV",
            "license": "SP 672",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100506123",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "668131",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparks, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.