Organization Active NPI

Wall Therapy & Consulting, LLC

  • Speech-Language Pathologist
  • Albany, GA
National Provider Identifier
1770023350
Registry record updated Mar 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP007890 Issued in GA
Legal business name
WALL THERAPY & CONSULTING, LLC
Practice address
1501 5TH Avenue
Albany, GA 31707-3638
Phone
(229) 326-5489
NPI assigned
Mar 2, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2017

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

Authorized official

Name
Melissa Wall, SLP
Title
Speech Therapist
Phone
(229) 326-5489

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X SLP007890 GA Primary

Addresses

Primary practice location

1501 5TH Avenue
Albany, GA 31707-3638

Mailing address

1501 5TH Ave
Albany, GA 31707-3638

National Provider Directory

National Provider Directory

Locations

1107 Greer St
Ste B
Cordele, GA 31015
Phone (229) 273-9445

NPI Registry JSON

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

{
    "created_epoch": "1488412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488412800000",
    "number": "1770023350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 5TH AVE",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317073638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 5TH AVENUE",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317073638",
            "telephone_number": "229-326-5489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALL THERAPY & CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-02",
        "last_updated": "2017-03-02",
        "status": "A",
        "authorized_official_last_name": "WALL",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "SPEECH THERAPIST",
        "authorized_official_telephone_number": "229-326-5489",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP007890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2017; 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.