NPIMap

Organization Active NPI

Nova Pediatric Therapy, PLLC

  • Speech-Language Pathologist
  • Alexandria, VA
National Provider Identifier
1770133498
Registry record updated Sep 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
NOVA PEDIATRIC THERAPY, PLLC
Practice address
106 S Ingram St
Alexandria, VA 22304-4940
Phone
(703) 215-7561
NPI assigned
Sep 14, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2019

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

Authorized official

Name
Alison Speich, MAT, MS, CCC-SLPNPI 1144723446
Title
Speech-Language Pathologist
Phone
(703) 215-7561

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: 193200000X MULTI-SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

106 S Ingram St
Alexandria, VA 22304-4940

Mailing address

106 S Ingram St
Alexandria, VA 22304-4940

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1568419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568419200000",
    "number": "1770133498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 S INGRAM ST",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223044940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 S INGRAM ST",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223044940",
            "telephone_number": "703-215-7561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA PEDIATRIC THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-14",
        "last_updated": "2019-09-14",
        "status": "A",
        "authorized_official_last_name": "SPEICH",
        "authorized_official_first_name": "ALISON",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "703-215-7561",
        "authorized_official_credential": "MAT, MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2019; 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.