Bayside Speech Therapy, Inc.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2202006232 Issued in VA

Legal business name

BAYSIDE SPEECH THERAPY, INC.

Practice address

468 Investors PL
Suite 200
Virginia Beach, VA 23452-1109

Phone

(757) 552-0400

Fax

(757) 552-0401

NPI assigned

Jan 6, 2015

Last updated

Sep 16, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Julia Sydnor, M.ED., CCC-SLPNPI 1316243181

Title

President

Phone

(757) 552-0400

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Julia Sydnor, M.ED., CCC-SLP

  • Speech-Language Pathologist
  • Virginia Beach, VA
  • NPI 1316243181
  NPD (past) Authorized official

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

{
    "created_epoch": "1420502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473984000000",
    "number": "1780072215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "468 INVESTORS PL",
            "address_2": "SUITE 200",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234521109",
            "telephone_number": "757-552-0400",
            "fax_number": "757-552-0401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "468 INVESTORS PL",
            "address_2": "SUITE 200",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234521109",
            "telephone_number": "757-552-0400",
            "fax_number": "757-552-0401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYSIDE SPEECH THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-06",
        "last_updated": "2016-09-16",
        "status": "A",
        "authorized_official_last_name": "SYDNOR",
        "authorized_official_first_name": "JULIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-552-0400",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.ED., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202006232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Baypointe Medical and Rehabilitation
• Bayside Hematology &Oncology P.C
• Bayside Internal Medicine PLC
• Bayside Pediatrics LLC
• Bayside SNF LLC (Bayside Health & Rehabilitation Center)
• Bayview Physician Services, PC
• Bayview Physician Services, PC
• Taniyah Leilonie Bazemore
• Megan K Bazil, M.D.
• BCD Treatment Center

• Speech-Language Pathologist in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Speech-Language Pathologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2016; 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.