Active NPI
Theresa A Walsh, MS SLP
- Speech-Language Pathologist
- Exeter, NH
National Provider Identifier
1770551194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 0726
- Practice address
- 9 Buzell Ave
Exeter, NH 03833-2522 - Phone
- (603) 772-8208
- Fax
- (603) 418-0784
- NPI assigned
- Mar 10, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 0726 | NH | Primary |
Addresses
Primary practice location
9 Buzell Ave
Exeter, NH 03833-2522
Mailing address
70 Butler St
Salem, NH 03079
Phone (603) 893-2900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30402983 | Medicaid | NH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0726 | NH | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525737600000",
"number": "1770551194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70 BUTLER ST",
"city": "SALEM",
"state": "NH",
"postal_code": "03079",
"telephone_number": "603-893-2900",
"fax_number": "603-898-8368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 BUZELL AVE",
"city": "EXETER",
"state": "NH",
"postal_code": "038332522",
"telephone_number": "603-772-8208",
"fax_number": "603-418-0784"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALSH",
"first_name": "THERESA",
"middle_name": "A",
"credential": "MS SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-10",
"last_updated": "2018-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NH",
"license": "0726",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30402983",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Exeter, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.