Organization Active NPI

Playworks Speech Therapy, PLLC

  • Speech-Language Pathologist
  • Arlington, VA
National Provider Identifier
1669758843
Registry record updated Nov 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2202004319 Issued in VA
Legal business name
PLAYWORKS SPEECH THERAPY, PLLC
Practice address
4931 Old Dominion Dr
Arlington, VA 22207-2833
Phone
(703) 623-1806
Fax
(703) 241-1910
NPI assigned
Nov 1, 2011
Last updated
Nov 1, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2011

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

Authorized official

Name
Mrs. Patricia Shanahan Wilson, M.S., CCC-SLPNPI 1780982678
Title
Speech Language Pathologist
Phone
(703) 623-1806

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 Pathologist 235Z00000X 2202004319 VA Primary

Addresses

Primary practice location

4931 Old Dominion Dr
Arlington, VA 22207-2833

Mailing address

4931 Old Dominion Dr
Arlington, VA 22207-2833
Phone (703) 623-1806

National Provider Directory

National Provider Directory
Tax ID family
Playworks Speech and Language 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.

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.

NPI Registry JSON

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

{
    "created_epoch": "1320105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320105600000",
    "number": "1669758843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4931 OLD DOMINION DR",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222072833",
            "telephone_number": "703-623-1806",
            "fax_number": "703-241-1910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4931 OLD DOMINION DR",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222072833",
            "telephone_number": "703-623-1806",
            "fax_number": "703-241-1910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAYWORKS SPEECH THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-01",
        "last_updated": "2011-11-01",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "SHANAHAN",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "703-623-1806",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202004319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2011; 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.