NPIMap

Organization Active NPI

Pediatric Therapy Source

  • Speech-Language Pathologist
  • Bridgeville, PA
National Provider Identifier
1942893631
Registry record updated Apr 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
PEDIATRIC THERAPY SOURCE
Practice address
800 Bursca Dr Ste 804
Bridgeville, PA 15017-1451
Phone
(412) 408-6177
Fax
(412) 604-3960
NPI assigned
Feb 15, 2021
Last updated
Apr 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2023

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

Authorized official

Name
Shelly Brands, M.A., CCC-SLPNPI 1205236221
Title
Owner - Speech Therapist
Phone
(412) 498-7369

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Physical Therapist 225100000X
Occupational Therapist 225X00000X
Speech-Language Pathologist 235Z00000X Primary

Addresses

Primary practice location

800 Bursca Dr Ste 804
Bridgeville, PA 15017-1451

Mailing address

111 Crescent Hill Rd
Oakdale, PA 15071-3701
Phone (412) 498-7369

Other practice location 1

111 Crescent Hill Rd
Oakdale, PA 15071-3701
Phone (412) 498-7369

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@pediatrictherapysource.com

National Provider Directory

National Provider Directory

Locations

800 Bursca Dr
Ste 804
Bridgeville, PA 15017
Phone (412) 408-6177

Interoperability endpoints

  • Direct secure messaging: info@pediatrictherapysource.com

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1613347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681948800000",
    "number": "1942893631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 CRESCENT HILL RD",
            "city": "OAKDALE",
            "state": "PA",
            "postal_code": "150713701",
            "telephone_number": "412-498-7369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 BURSCA DR STE 804",
            "city": "BRIDGEVILLE",
            "state": "PA",
            "postal_code": "150171451",
            "telephone_number": "412-408-6177",
            "fax_number": "412-604-3960"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Crescent Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Oakdale",
            "state": "PA",
            "postal_code": "150713701",
            "country_code": "US",
            "telephone_number": "412-498-7369",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PEDIATRIC THERAPY SOURCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-15",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A",
        "authorized_official_last_name": "BRANDS",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_title_or_position": "OWNER - SPEECH THERAPIST",
        "authorized_official_telephone_number": "412-498-7369",
        "authorized_official_credential": "M.A., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical 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": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@pediatrictherapysource.com",
            "affiliation": "N",
            "address_1": "111 Crescent Hill Rd",
            "city": "Oakdale",
            "state": "PA",
            "country_code": "US",
            "postal_code": "150713701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bridgeville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2023; 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.