INTERACT PEDIATRIC THERAPY SERVICES, PLLC (NPI# 1740505346) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740505346 |
| Entity Type | Organization |
| Organization Name | INTERACT PEDIATRIC THERAPY SERVICES, PLLC |
| Practice Address |
1305 W Wendover Ave C Greensboro NC 27408-8124 |
| Mailing Address |
5603 W Friendly Ave Ste B #274 Greensboro NC 27410-4252 |
| Practice Telephone | 3367725499 |
| Practice Fax Number | 3367409099 |
| Mailing Telephone | 3367725499 |
| Mailing Fax Number | 3367409099 |
| Enumeration Date | 2010-04-07 |
| Last Update Date | 2014-08-05 |
| Authorized Official Name | DEANNA COLE MAYBERRY (COOWNER) |
| Authorized Official Telephone | 3367725499 |
| Authorized Official Credential | OT/L |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225XP0200X |
Occupational Therapist Specialization: Pediatrics |
4531 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 235Z00000X | Speech-Language Pathologist | 3223 | NC | Speech, Language and Hearing Service Providers |
| Y | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7200380 | 05 |
| Street Address |
1305 W WENDOVER AVE C |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27408-8124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215049291 | Eye Consultants of Greensboro | Technician/Technologist | 1305 W Wendover Ave, Suite B, Greensboro, NC 27408-8124 | 2006-08-31 |
| 1235605536 | Mary Kate Elizabeth Young | Occupational Therapy Assistant | 1305 W Wendover Ave, Greensboro, NC 27408-8124 | 2018-10-15 |
| 1265554547 | Deanna Cole Reyes | Occupational Therapist | 1305 W Wendover Ave, C, Greensboro, NC 27408-8124 | 2007-04-06 |
| 1245318245 | Rosanna Carol Mcconnell | Dermatology | 1305 W Wendover Ave, Suite D, Greensboro, NC 27408 | 2006-11-01 |
| 1598852360 | Amber J Register | Dermatology | 1305 W Wendover Ave, Suite D, Greensboro, NC 27408 | 2006-10-05 |
| 1174610935 | John H Hall Jr. | Dermatology | 1305 W Wendover Ave, Suite D, Greensboro, NC 27408 | 2006-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831702216 | Nova Home Health LLC | Registered Nurse | 18418 Banking Street Num 9141, Greensboro, NC 27408 | 2020-08-26 |
| 1801410394 | Rachel Lynn Harmon | Behavior Technician | 717 Green Valley Road, Suite 200, Greensboro, NC 27408 | 2020-06-01 |
| 1013551605 | Paige August Becker | Physical Therapist | Southeastern Orthopaedic Specialists, 1915 Lendew Street, Greensboro, NC 27408 | 2019-11-06 |
| 1174164057 | Regenerative Medical Institute,pllc | Anesthesiology | 1305 W. Wendover Ave., Ste A, Greensboro, NC 27408 | 2019-10-02 |
| 1154979912 | Adrian Wilkins | Behavior Technician | 717 Green Valley Rd., Suite 200 Office 231, Greensboro, NC 27408 | 2019-08-26 |
| 1902392723 | Monaca Johnson | Counselor | 1515 W Cornwallis Dr G105, Greensboro, NC 27408 | 2018-07-04 |
| 1801395850 | Germaine Nichols | Behavioral Analyst | 2311 West Cone Boulevard, Studio 110 A, Greensboro, NC 27408 | 2018-02-06 |
| 1790283844 | Naomi Lane, D.d.s., P.a. | Dentist | 2600-a Oakcrest Ave, Greensboro, NC 27408 | 2018-01-24 |
| 1578084034 | Cone Health Connected Care, LLC | Nurse Practitioner | 2800 Lawndale Dr Ste 109, Greensboro, NC 27408 | 2017-07-05 |
| 1598204315 | The Pleasants Group, Pllc | Social Worker | 1400 Battleground Ave Suite 112 A & B, Greensboro, NC 27408 | 2017-02-13 |
| Find all providers in zip 27408 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013523505 | Sarah Ann Julian | Speech-Language Pathologist | 5404 White Blossom Dr, Greensboro, NC 27410-9337 | 2020-09-20 |
| 1932714219 | Alden Mitchell | Speech-Language Pathologist | 5000 Shorthorn Way, Greensboro, NC 27405-9770 | 2020-09-13 |
| 1548884505 | Amy Elizabeth Raye | Speech-Language Pathologist | 3907 W Market St, Greensboro, NC 27407-1303 | 2020-06-04 |
| 1205472529 | Hayley Cullen Cassiano | Speech-Language Pathologist | 3504 Flint St Apt B103, Greensboro, NC 27405-3273 | 2019-11-21 |
| 1437712866 | Ashley Nicole Mathews | Speech-Language Pathologist | 4010 Saltee Rd, Greensboro, NC 27406-6432 | 2019-04-22 |
| 1285117762 | Anastazia Juszczak Gray | Speech-Language Pathologist | 1131 N. Church St, Greensboro, NC 27401 | 2018-09-11 |
| 1528561651 | Julia Mangum | Speech-Language Pathologist | 4500 Eldorado Dr, Greensboro, NC 27406-9307 | 2018-03-15 |
| 1205341831 | Blanca Segovia | Speech-Language Pathologist | 4030 Southview Dr, Greensboro, NC 27407-9739 | 2017-12-05 |
| 1811408727 | Christopher Atkins | Speech-Language Pathologist | 524 Highland Ave. 300 Ferguson Building, Greensboro, NC 27402-2740 | 2017-10-18 |
| 1205384302 | Monique Goring | Speech-Language Pathologist | 3205 Pleasant Garden Rd, Apt 2g, Greensboro, NC 27406-4675 | 2016-09-17 |
| Find all providers in GREENSBORO | ||||
| City | GREENSBORO |
| Zip Code | 27408 |
Please comment or provide details below to improve the information on INTERACT PEDIATRIC THERAPY SERVICES, PLLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.