NPIMap

Organization Active NPI

Creating Pathways Pediatric Therapy

  • Speech-Language Pathologist
  • Salem, OR
National Provider Identifier
1730635947
Registry record updated Aug 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
015230 Issued in OR
Legal business name
CREATING PATHWAYS PEDIATRIC THERAPY
Practice address
748 Hawthorne Ave NE
Salem, OR 97301-4675
Phone
(503) 926-4299
NPI assigned
Aug 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2016

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

Authorized official

Name
Ms. Joanie Johnson
Title
Owner
Phone
(503) 926-4299

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 015230 OR Primary

Addresses

Primary practice location

748 Hawthorne Ave NE
Salem, OR 97301-4675

Mailing address

748 Hawthorne Ave
Salem, OR 97392
Phone (503) 926-4299

National Provider Directory

National Provider Directory

Locations

748 Hawthorne Ave NE
Salem, OR 97301
Phone (503) 926-4299

Practitioners & affiliated clinicians

Practitioners 4

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": "1472342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472342400000",
    "number": "1730635947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "748 HAWTHORNE AVE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "97392",
            "telephone_number": "503-926-4299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "748 HAWTHORNE AVE NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973014675",
            "telephone_number": "503-926-4299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATING PATHWAYS PEDIATRIC THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-28",
        "last_updated": "2016-08-28",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JOANIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-926-4299",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "OR",
            "license": "015230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2016; 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.