PENDER PEDIATRIC THERAPY, PC (NPI# 1881136851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881136851 |
| Entity Type | Organization |
| Organization Name | PENDER PEDIATRIC THERAPY, PC |
| Practice Address |
126 W. Fremont St. Burgaw NC 28425 |
| Mailing Address |
Po Box 662 Burgaw NC 28425-0662 |
| Practice Telephone | 9106635450 |
| Practice Fax Number | 8448036048 |
| Mailing Telephone | 9106635450 |
| Mailing Fax Number | 8448036048 |
| Enumeration Date | 2016-11-08 |
| Last Update Date | 2017-02-02 |
| Authorized Official Name | COURTNEY L GIBBS (OWNER/SLP) |
| Authorized Official Telephone | 9106635450 |
| Authorized Official Credential | MS, CCC-SLP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 9958 | NC | Speech, Language and Hearing Service Providers |
| Street Address |
126 W. FREMONT ST. |
| City | BURGAW |
| State | NC |
| Zip Code | 28425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861091662 | Chiquitta Williams Lesene | Counselor | 407 E Fremont Street, Burgaw, NC 28425 | 2020-10-22 |
| 1255978912 | David L Populus Jr. | Preventive Medicine | 1638 Hwy 53, Burgaw, NC 28425 | 2019-12-02 |
| 1467948729 | Coastal Horizons Center Inc. | Community/Behavioral Health | 309 Progress Dr., Burgaw, NC 28425 | 2018-07-10 |
| 1629504824 | Kellie Savard | Speech-Language Pathologist | 213 South Wright Street, Unit B, Burgaw, NC 28425 | 2017-05-08 |
| 1578004800 | Alisa Fussell | Speech-Language Pathologist | 10131 Highway 53 W, Burgaw, NC 28425 | 2017-03-20 |
| 1821424771 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 206 Us Highway 117 S, Burgaw, NC 28425 | 2013-09-24 |
| 1679816193 | Kerry Dawn Daraskavich | Physical Therapist | 311 South Campell Street, Burgaw, NC 28425 | 2013-04-03 |
| 1184985178 | Kerr Drug | Point of Service | 206 Us Route 117 South, Burgaw, NC 28425 | 2012-06-06 |
| 1407117682 | Courtney L Gibbs | Speech-Language Pathologist | 126 W Fremont St, Burgaw, NC 28425 | 2012-06-04 |
| 1447525019 | David Neil Downing | Pharmacist | Us Hwy 117 S, Burgaw, NC 28425 | 2012-03-15 |
| Find all providers in zip 28425 | ||||
| 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 |
|---|---|---|---|---|
| 1629504824 | Kellie Savard | Speech-Language Pathologist | 213 South Wright Street, Unit B, Burgaw, NC 28425 | 2017-05-08 |
| 1578004800 | Alisa Fussell | Speech-Language Pathologist | 10131 Highway 53 W, Burgaw, NC 28425 | 2017-03-20 |
| 1407117682 | Courtney L Gibbs | Speech-Language Pathologist | 126 W Fremont St, Burgaw, NC 28425 | 2012-06-04 |
| 1942492616 | Roxanne Harrell Vivlamore | Speech-Language Pathologist | 2171 Malpass Corner Rd, Burgaw, NC 28425-2855 | 2007-08-15 |
| 1245886118 | Megan Lydon | Speech-Language Pathologist | 507 E Fremont St, Burgaw, NC 28425-5131 | 2019-08-15 |
| 1538611959 | Alice Lippman | Speech-Language Pathologist | 311 S Campbell St, Burgaw, NC 28425-5011 | 2016-11-02 |
| 1982041281 | Haley Elizabeth Welsh | Speech-Language Pathologist | 311 S Campbell St, Burgaw, NC 28425-5011 | 2013-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598366114 | Sisters In Speech, PC | Speech-Language Pathologist | 66 Pewee Ln, Waynesville, NC 28786-8069 | 2020-11-02 |
| 1396345112 | Good Shepherd Therapy | Speech-Language Pathologist | 10301 Oak Pond Cir, Charlotte, NC 28277-9506 | 2020-10-30 |
| 1528667714 | Evans Avt Pllc | Speech-Language Pathologist | 8 Brynhurst Ct, Durham, NC 27713-9357 | 2020-10-20 |
| 1467050443 | Speech Therapy & Allied Resources, Pllc | Speech-Language Pathologist | 1105 Englewood Ave, Durham, NC 27701-1125 | 2020-10-13 |
| 1568069508 | Roots and Wings Speech and Language Services, Pllc | Speech-Language Pathologist | 2005 Lodestar Dr, Raleigh, NC 27615-2520 | 2020-10-02 |
| 1194332312 | Lindsay M Austin | Speech-Language Pathologist | 141 Terrace Ln Apt 1205, Boone, NC 28607-5380 | 2020-09-30 |
| 1285241679 | Rebecca Latterman | Speech-Language Pathologist | 1085 Richmond Park Dr, Winston Salem, NC 27103-5384 | 2020-09-29 |
| 1467069195 | Speech Tx | Speech-Language Pathologist | 2649 Cypress Oak Ln, Gastonia, NC 28056-0018 | 2020-09-27 |
| 1700493509 | John Wilson Irwin | Speech-Language Pathologist | 19 Saint James Ct, Durham, NC 27713-9408 | 2020-09-25 |
| 1972119048 | Savikaluck Risza Konkankit | Speech-Language Pathologist | 1010 Stillwell Dr Unit 2401, Durham, NC 27707-6279 | 2020-09-23 |
| Find all providers with the same taxonomy | ||||
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| 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.