NPIMap

Organization Active NPI

Children'S Innovative Therapy Group, LLC

  • Hearing and Speech Clinic/Center
  • Bethesda, MD
National Provider Identifier
1912265125
Registry record updated Apr 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
License
0607 Issued in MD
Legal business name
CHILDREN'S INNOVATIVE THERAPY GROUP, LLC
Practice address
5109 Battery LN
Bethesda, MD 20814-2413
Phone
(301) 652-2220
NPI assigned
Apr 25, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2012

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

Authorized official

Name
Ms. Diane Lewis, MA, CCC-SLPNPI 1730447962
Title
Director
Phone
(301) 652-2220

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Augmentative Communication Clinic/Center 261QA3000X 0607 MD
Developmental Disabilities Clinic/Center 261QD1600X 0607 MD
Hearing and Speech Clinic/Center 261QH0700X 0607 MD Primary

Addresses

Primary practice location

5109 Battery LN
Bethesda, MD 20814-2413

Mailing address

5109 Battery LN
Bethesda, MD 20814-2413
Phone (301) 652-2220

National Provider Directory

National Provider Directory
Tax ID family
Children'S Innovative Therapy Group LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1335312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335312000000",
    "number": "1912265125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5109 BATTERY LN",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208142413",
            "telephone_number": "301-652-2220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5109 BATTERY LN",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208142413",
            "telephone_number": "301-652-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S INNOVATIVE THERAPY GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-25",
        "last_updated": "2012-04-25",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "301-652-2220",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "261QA3000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Augmentative Communication",
            "state": "MD",
            "license": "0607",
            "primary": false
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "MD",
            "license": "0607",
            "primary": false
        },
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "MD",
            "license": "0607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2012; 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.