Organization Active NPI

Pediatric and Adult Therapy Services, L.L.C.

  • Speech-Language Pathologist
  • Mobile, AL
National Provider Identifier
1740667245
Registry record updated May 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
3645 Issued in AL
Legal business name
PEDIATRIC AND ADULT THERAPY SERVICES, L.L.C.
Practice address
3351 Torrey Dr
Mobile, AL 36693-3563
Phone
(251) 379-0580
NPI assigned
May 4, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2020

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

Authorized official

Name
Kimiko Muniz Pears, CCC-SLPNPI 1861879165
Title
Speech-Language Pathologist
Phone
(251) 379-0580

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 PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 3645 AL Primary

Addresses

Primary practice location

3351 Torrey Dr
Mobile, AL 36693-3563

Mailing address

3351 Torrey Dr
Mobile, AL 36693-3563
Phone (251) 379-0580

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210121003088 AL Part B Supplier - Clinic/Group Practice 9133532294 Receives reassigned benefits from 1 practitioner
Practice locations: Mobile, AL

National Provider Directory

National Provider Directory

Locations

328 S Sage Ave
Ste 212
Mobile, AL 36606
Phone (251) 379-0580

Practitioners & affiliated clinicians

Practitioners 2

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": "1430697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590364800000",
    "number": "1740667245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3351 TORREY DR",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366933563",
            "telephone_number": "251-379-0580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3351 TORREY DR",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366933563",
            "telephone_number": "251-379-0580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC AND ADULT THERAPY SERVICES, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-04",
        "last_updated": "2020-05-25",
        "certification_date": "2020-05-25",
        "status": "A",
        "authorized_official_last_name": "PEARS",
        "authorized_official_first_name": "KIMIKO",
        "authorized_official_middle_name": "MUNIZ",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "251-379-0580",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "AL",
            "license": "3645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.