NPIMap

Organization Active NPI

Children's Innovative Therapy

  • Speech-Language Pathologist
  • Angler, NC
National Provider Identifier
1750404059
Registry record updated Aug 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
CHILDREN'S INNOVATIVE THERAPY
Practice address
9621 Bitter Melon Dr.
Angler, NC 27501-5917
Phone
(919) 275-9675
Fax
(919) 400-4324
NPI assigned
Apr 9, 2007
Last updated
Aug 2, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2021

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

Authorized official

Name
Beth Richardson
Title
Director
Phone
(919) 275-9675

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X Primary

Addresses

Primary practice location

9621 Bitter Melon Dr.
Angler, NC 27501-5917

Mailing address

9621 Bitter Melon Dr.
Angler, NC 27501-5917
Phone (919) 275-9675

National Provider Directory

National Provider Directory

Locations

9621 Bitter Melon Dr
Angier, NC 27501
Phone (919) 275-9675

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627862400000",
    "number": "1750404059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9621 BITTER MELON DR.",
            "city": "ANGLER",
            "state": "NC",
            "postal_code": "275015917",
            "telephone_number": "919-275-9675",
            "fax_number": "919-400-4324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9621 BITTER MELON DR.",
            "city": "ANGLER",
            "state": "NC",
            "postal_code": "275015917",
            "telephone_number": "919-275-9675",
            "fax_number": "919-400-4324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S INNOVATIVE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2021-08-02",
        "certification_date": "2021-08-02",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "BETH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "919-275-9675"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2021; 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.