Pals Pediatric Therapy, PLLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

PALS PEDIATRIC THERAPY, PLLC

Practice address

4262 Popps Ferry Rd Ste B
Diberville, MS 39540-2391

Phone

(301) 200-1789

NPI assigned

Jul 16, 2020

Organization subpart

No

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

Authorized official

Name

Dipali Patel Bhakta, M.S., CCC-SLPNPI 1245622067

Title

Owner

Phone

(601) 310-8393

Specialties & licenses 1

Addresses

Practitioners 1

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

• Dipali Patel Bhakta, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Biloxi, MS
  • NPI 1245622067
  NPD (past) Authorized official

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

{
    "created_epoch": "1594857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705363200000",
    "number": "1689282568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 WALKING TRAIL WAY",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357584819",
            "telephone_number": "601-310-8393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4262 POPPS FERRY RD STE B",
            "city": "DIBERVILLE",
            "state": "MS",
            "postal_code": "395402391",
            "telephone_number": "301-200-1789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALS PEDIATRIC THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-16",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A",
        "authorized_official_last_name": "BHAKTA",
        "authorized_official_first_name": "DIPALI",
        "authorized_official_middle_name": "PATEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-310-8393",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Quochuy L Nhan, PHARMD.
• Oakview Counseling LLC
• One Solution Cerebral Wellness
• Andrea Ewing Overstreet, RPH
• Peaches Palmer, NP
• Elissa Parker, RBT
• Jeremy Wayne Parker, D.M.D.
• Taylor Morgan Parrish
• Samuel Patterson, LPTA
• Carmen Payton

• Speech-Language Pathologist in Diberville, MS
• Providers in Diberville, MS by specialty
• Speech-Language Pathologist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.