NPIMap

Organization Active NPI

Quality Pediatric Therapy LLC

  • Speech-Language Pathologist
  • Arlington, VA
National Provider Identifier
1790413318
Registry record updated Aug 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
QUALITY PEDIATRIC THERAPY LLC
Practice address
1800 Wilson Blvd Unit 428
Arlington, VA 22201-6607
Phone
(850) 276-6946
NPI assigned
Aug 11, 2022
Last updated
Aug 17, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2022

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

Authorized official

Name
Vanessa Lauren Waters, MS CCC-SLPNPI 1356880058
Title
SLP/Owner
Phone
(850) 276-6946

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 5

Specialty (taxonomy)CodeLicenseStatePrimary
Art Therapist 221700000X
Physical Therapist 225100000X
Music Therapist 225A00000X
Occupational Therapist 225X00000X
Speech-Language Pathologist 235Z00000X Primary

Addresses

Primary practice location

1800 Wilson Blvd Unit 428
Arlington, VA 22201-6607

Mailing address

1800 Wilson Blvd Unit 428
Arlington, VA 22201-6607
Phone (850) 276-6946

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1660176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660694400000",
    "number": "1790413318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 WILSON BLVD UNIT 428",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222016607",
            "telephone_number": "850-276-6946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 WILSON BLVD UNIT 428",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222016607",
            "telephone_number": "850-276-6946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY PEDIATRIC THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-11",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-17",
        "status": "A",
        "authorized_official_last_name": "WATERS",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_middle_name": "LAUREN",
        "authorized_official_title_or_position": "SLP/OWNER",
        "authorized_official_telephone_number": "850-276-6946",
        "authorized_official_credential": "MS CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225A00000X",
            "taxonomy_group": "",
            "desc": "Music Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2022; 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.