The Center for Pediatric Therapy Inc

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL001515L Issued in PA

Legal business name

THE CENTER FOR PEDIATRIC THERAPY INC

Practice address

9 Bristol CT
Wyomissing, PA 19610-1851

Phone

(610) 670-8600

NPI assigned

May 11, 2007

Last updated

Nov 13, 2007By the provider in NPPES

Organization subpart

Yes

Parent organization

THE CENTER FOR PEDIATRIC THERAPY INCAs reported in NPPES

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

Authorized official

Name

Mr. Wayne S Jensen

Title

Business Manager

Phone

(610) 670-8600

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• the center for pediatric therapy inc speech language pathology Other name

Tax ID family

The Center for Pediatric Therapy Inc4 organizations share this tax ID, including this one

Part of

The Center for Pediatric Therapy Inc

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• The Center for Pediatric Therapy Inc

  • Multi-Specialty Clinic/Center
  • Wyomissing, PA
  • NPI 1407924616
  NPD tax ID
• The Center for Pediatric Therapy Inc

  • Physical Therapist
  • Wyomissing, PA
  • NPI 1861607210
  NPD tax ID
• The Center for Pediatric Therapy, Inc

  • Occupational Therapist
  • Wyomissing, PA
  • NPI 1831374669
  NPD tax ID

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194912000000",
    "number": "1770798126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 BRISTOL CT",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196101851",
            "telephone_number": "610-670-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 BRISTOL CT",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196101851",
            "telephone_number": "610-670-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CENTER FOR PEDIATRIC THERAPY INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE CENTER FOR PEDIATRIC THERAPY INC",
        "enumeration_date": "2007-05-11",
        "last_updated": "2007-11-13",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "610-670-8600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL008394",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL001515L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "1914048",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "the center for pediatric therapy inc speech language pathology",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Samantha Nicole Terry, PA
• Elizabeth Marie Teter, ATC
• Linda M Texter, CRNP
• The Center for Advanced Wound Care
• The Center for Pediatric Therapy Inc
• The Center for Pediatric Therapy Inc
• The Center for Pediatric Therapy, Inc
• The Childrens Clininic of Wyomissing
• The Counseling and Wellness Center of Wyomissing
• The Highlands at Wyomissing (Aspire for Well-Being Hospice)

• Speech-Language Pathologist in Wyomissing, PA
• Providers in Wyomissing, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2007; 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.