Organization Active NPI

Piedmont Speech Therapy, Inc

  • Speech-Language Pathologist
  • Forest, VA
National Provider Identifier
1922105121
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
PIEDMONT SPEECH THERAPY, INC
Practice address
15421 Forest Rd
Suite D
Forest, VA 24551-2274
Phone
(434) 525-2394
Fax
(434) 525-2118
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Karen S Sims, M.ED,M.S.CCC-SLP
Title
Pathologist
Phone
(434) 525-2394

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

15421 Forest Rd
Suite D
Forest, VA 24551-2274

Mailing address

15421 Forest Rd
Suite D
Forest, VA 24551-2274
Phone (434) 525-2394

Other identifiers 1

IdentifierTypeStateIssuer
278286OtherVAANTHEM BCBS

National Provider Directory

National Provider Directory

Locations

15421 Forest Rd
Ste D
Forest, VA 24551
Phone (434) 525-2394

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": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922105121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15421 FOREST RD",
            "address_2": "SUITE D",
            "city": "FOREST",
            "state": "VA",
            "postal_code": "245512274",
            "telephone_number": "434-525-2394",
            "fax_number": "434-525-2118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15421 FOREST RD",
            "address_2": "SUITE D",
            "city": "FOREST",
            "state": "VA",
            "postal_code": "245512274",
            "telephone_number": "434-525-2394",
            "fax_number": "434-525-2118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIEDMONT SPEECH THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SIMS",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PATHOLOGIST",
        "authorized_official_telephone_number": "434-525-2394",
        "authorized_official_credential": "M.ED,M.S.CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "278286",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.