Theresa F Pettay, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

1144 Issued in KS

Practice address

21105 School View Rd
Wamego, KS 66547-9416

Phone

(785) 456-7326

NPI assigned

Apr 19, 2006

Last updated

Jul 16, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279238400000",
    "number": "1780649103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21105 SCHOOL VIEW RD",
            "city": "WAMEGO",
            "state": "KS",
            "postal_code": "665479416",
            "telephone_number": "785-456-7326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21105 SCHOOL VIEW RD",
            "city": "WAMEGO",
            "state": "KS",
            "postal_code": "665479416",
            "telephone_number": "785-456-7326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTAY",
        "first_name": "THERESA",
        "middle_name": "F",
        "name_prefix": "Ms.",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-19",
        "last_updated": "2010-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KS",
            "license": "1144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christy Nelson
• Next Step Recovery and Clinical Services, LLC (Next Step Recovery and Clinical Services)
• Alyssa Ann Olberding
• Patrick Blanchard MD
• Kaylee Marie Peters, ARNP
• Pottawatomie Wabaunsee Infant Toddler
• Brooke Powers
• Price Physical Therapy, LLC
• Brian Gregory Price, PT, DPT
• John E Price II, MD

• Speech-Language Pathologist in Wamego, KS
• Providers in Wamego, KS by specialty
• Speech-Language Pathologist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2010; 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.