Organization Active NPI

Speech Pals Therapy, PLLC

  • Speech-Language Pathologist
  • Wilmington, NC
National Provider Identifier
1982026647
Registry record updated Sep 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
6777 Issued in NC
Legal business name
SPEECH PALS THERAPY, PLLC
Practice address
314 Loder Ave
Wilmington, NC 28409-4340
Phone
(910) 399-8299
Fax
(910) 793-3148
NPI assigned
Jan 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2015

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

Authorized official

Name
Carol A CarafaNPI 1538344957
Title
Owner
Phone
(910) 399-8299

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 6777 NC Primary

Addresses

Primary practice location

314 Loder Ave
Wilmington, NC 28409-4340

Mailing address

314 Loder Ave
Wilmington, NC 28409-4340
Phone (910) 399-8299

Other identifiers 1

IdentifierTypeStateIssuer
7412948MedicaidNC

National Provider Directory

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": "1389744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441843200000",
    "number": "1982026647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 LODER AVE",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284094340",
            "telephone_number": "910-399-8299",
            "fax_number": "910-793-3148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 LODER AVE",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284094340",
            "telephone_number": "910-399-8299",
            "fax_number": "910-793-3148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECH PALS THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-15",
        "last_updated": "2015-09-10",
        "status": "A",
        "authorized_official_last_name": "CARAFA",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-399-8299"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "6777",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7412948",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2015; 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.