Active NPI
Capable Kids Home Therapy Co.
- Speech-Language Pathologist
- Charlotte, NC
National Provider Identifier
1700834181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- CAPABLE KIDS HOME THERAPY CO.
- Practice address
- 5717 Whitehawk Hill Rd.
Charlotte, NC 28227 - Phone
- (704) 965-0783
- Fax
- (704) 545-8021
- NPI assigned
- May 5, 2006
- 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
- Ms. Randi Marie Smith, SLP
- Title
- President
- Phone
- (704) 965-0783
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | |||
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
5717 Whitehawk Hill Rd.
Charlotte, NC 28227
Mailing address
7427 Matthews-Mint Hill Rd.
Suite 105 PMB 168
Charlotte, NC 28227
Phone (704) 965-0783
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7211782 | Medicaid | NC |
National Provider Directory
National Provider DirectoryLocations
7427 Matthews Mint Hill Rd
Ste 105
Mint Hill, NC 28227
Phone (704) 965-0783
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- Charlotte, NC
- NPI 1396066312
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1268092800000",
"number": "1700834181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7427 MATTHEWS-MINT HILL RD.",
"address_2": "SUITE 105 PMB 168",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "28227",
"telephone_number": "704-965-0783",
"fax_number": "704-545-8021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5717 WHITEHAWK HILL RD.",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "28227",
"telephone_number": "704-965-0783",
"fax_number": "704-545-8021"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAPABLE KIDS HOME THERAPY CO.",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-05",
"last_updated": "2010-03-09",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "RANDI",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "704-965-0783",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "SLP"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7211782",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.