NPIMap

Organization Active NPI

Redbird Pediatric Therapy, LLC

  • Hearing and Speech Clinic/Center
  • Henrico, VA
National Provider Identifier
1639795453
Registry record updated Jun 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
Legal business name
REDBIRD PEDIATRIC THERAPY, LLC
Practice address
12118 Sable CT
Henrico, VA 23233-1658
Phone
(804) 314-2697
NPI assigned
Jun 17, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2020

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

Authorized official

Name
Whitney Raible, MS CCC-SLPNPI 1598918013
Title
Speech-Language Pathologist
Phone
(804) 314-2697

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
Hearing and Speech Clinic/Center 261QH0700X Primary

Addresses

Primary practice location

12118 Sable CT
Henrico, VA 23233-1658

Mailing address

12118 Sable CT
Henrico, VA 23233-1658
Phone (804) 314-2697

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address whitney@redbirdpediatric.com

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1592352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592352000000",
    "number": "1639795453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12118 SABLE CT",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232331658",
            "telephone_number": "804-314-2697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12118 SABLE CT",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232331658",
            "telephone_number": "804-314-2697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDBIRD PEDIATRIC THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-17",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A",
        "authorized_official_last_name": "RAIBLE",
        "authorized_official_first_name": "WHITNEY",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "804-314-2697",
        "authorized_official_credential": "MS CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "whitney@redbirdpediatric.com",
            "affiliation": "N",
            "address_1": "12118 Sable Ct",
            "city": "Henrico",
            "state": "VA",
            "country_code": "US",
            "postal_code": "232331658",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Henrico, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2020; 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.