Active NPI
Chosen One Therapies, Inc
- Specialist
- Fredericksburg, VA
National Provider Identifier
1730494329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- CHOSEN ONE THERAPIES, INC
- Practice address
- 10851 Tidewater Trial
#103
Fredericksburg, VA 22408-0260 - Phone
- (571) 330-8120
- Fax
- (877) 771-3419
- NPI assigned
- Aug 9, 2010
- 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. Deniece M Payne, MS-SLP, MED
- Title
- Clinical Director
- Phone
- (571) 330-8120
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | |||
| Interpreter | 171R00000X | |||
| Specialist | 174400000X | Primary | ||
| Speech-Language Assistant | 2355S0801X | |||
| Speech-Language Pathologist | 235Z00000X |
Addresses
Primary practice location
10851 Tidewater Trial
#103
Fredericksburg, VA 22408-0260
Mailing address
17775 Main St
Ste 104
Dumfries, VA 22026-2491
Phone (540) 693-6997
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730494329 | Medicaid | VA | |
| C10948 | Other | VA | GROUP PROVIDER (PTAN) |
| 1073788931 | Medicaid | VA |
National Provider Directory
National Provider DirectoryLocations
17775 Main St
Ste 104
Dumfries, VA 22026
Phone (540) 693-6997
10851 Tidewater Trl
#103
Fredericksburg, VA 22408
Phone (540) 693-6007
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- Fredericksburg, VA
- NPI 1417243007
-
- Physical Therapist
- Fredericksburg, VA
- NPI 1619392990
-
- Occupational Therapist
- Telluride, CO
- NPI 1306114079
-
- Speech-Language Pathologist
- Augusta, GA
- NPI 1710396114
-
- Music Therapist
- Baltimore, MD
- NPI 1881088458
-
- Occupational Therapist
- Cherry Hill, NJ
- NPI 1043459670
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281312000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1416787200000",
"number": "1730494329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17775 MAIN ST",
"address_2": "STE 104",
"city": "DUMFRIES",
"state": "VA",
"postal_code": "220262491",
"telephone_number": "540-693-6997",
"fax_number": "877-771-3419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10851 TIDEWATER TRIAL",
"address_2": "#103",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224080260",
"telephone_number": "571-330-8120",
"fax_number": "877-771-3419"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHOSEN ONE THERAPIES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2010-08-09",
"last_updated": "2014-11-24",
"status": "A",
"authorized_official_last_name": "PAYNE",
"authorized_official_first_name": "DENIECE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "CLINICAL DIRECTOR",
"authorized_official_telephone_number": "571-330-8120",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MS-SLP, MED"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "171R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Interpreter",
"state": null,
"license": null,
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
},
{
"code": "2355S0801X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1730494329",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP PROVIDER (PTAN)",
"identifier": "C10948",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1073788931",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fredericksburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.