CENTER FOR PEDIATRIC THERAPY (NPI# 1952702680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952702680 |
| Entity Type | Organization |
| Organization Name | CENTER FOR PEDIATRIC THERAPY |
| Practice Address |
1300 Post Rd Ste 204 Fairfield CT 06824-6038 |
| Mailing Address |
101 N Plains Industrial Rd Wallingford CT 06492-2360 |
| Practice Telephone | 2032553669 |
| Practice Fax Number | 2032543790 |
| Mailing Telephone | 2039499337 |
| Mailing Fax Number | 2032843779 |
| Enumeration Date | 2014-09-12 |
| Last Update Date | 2014-09-12 |
| Authorized Official Name | SAMANTHA RUSCILLO (SPEECH AND LANGUAGE PATHOLOGIST) |
| Authorized Official Telephone | 2039499337 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 004880 | CT | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366845711 | Center for Pediatric Therapy | Physical Therapist | 431 Nursery Rd Ste A100, The Woodlands, TX 77380-1918 | 2014-09-30 |
| 1750526554 | Center for Pediatric Therapy | Case Management | 9 Bristol Court, Wyomissing, PA 19610-1851 | 2008-12-08 |
| 1477718492 | Center for Pediatric Therapy | Clinic/Center | 6710 N Country Homes Blvd, Spokane, WA 99208-4337 | 2008-07-21 |
| 1720252760 | Center for Pediatric Therapy | Clinic/Center | 2645 Sw 37th Ave, 304, Miami, FL 33133-2754 | 2008-04-22 |
| 1184745291 | Center for Pediatric Therapy | Speech-Language Pathologist | 19221 Interstate 45 S, Suite 360, Conroe, TX 77385-8756 | 2007-04-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | CENTER FOR PEDIATRIC THERAPY INC. | 1800 Woodland Hills Dr, Evansville, IN 47725 |
| Washington State Corporations | CENTER FOR PEDIATRIC THERAPY, PLLC | 6710 N Country Homes Blvd, Spokane, WA 99208-4337 |
| Street Address |
1300 POST RD STE 204 |
| City | FAIRFIELD |
| State | CT |
| Zip Code | 06824-6038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003089475 | Amanda Bean | Speech-Language Pathologist | 1300 Post Rd Ste 204, Fairfield, CT 06824-6038 | 2008-04-08 |
| 1831641521 | Morgan Talbott | Speech-Language Pathologist | 1300 Post Rd Ste 204, Fairfield, CT 06824-6038 | 2016-10-27 |
| 1861882110 | Rachel Haar | Occupational Therapist | 1300 Post Rd Ste 204, Fairfield, CT 06824-6038 | 2015-01-26 |
| 1851732952 | Deirdre Dempsey | Speech-Language Pathologist | 1300 Post Rd Ste 204, Fairfield, CT 06824-6038 | 2013-07-17 |
| 1265770267 | Suzana Paulos | Speech-Language Pathologist | 1300 Post Rd Ste 204, Fairfield, CT 06824-6038 | 2013-01-25 |
| 1457615338 | Amanda Baum | Occupational Therapist | 1300 Post Rd Ste 204, Fairfield, CT 06824-6038 | 2012-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942819826 | Lauren J Cotton | Student in an Organized Health Care Education/Training Program | 1073 North Benson Road, Fairfield, CT 06824 | 2020-07-28 |
| 1831652064 | Seagull Counseling & Therapy LLC | Social Worker | 35 Nutmeg Lane, Fairfield, CT 06824 | 2019-04-14 |
| 1871018390 | Richard Matthew Carraway | Nurse Practitioner | 117 Carlynn Drive, Fairfield, CT 06824 | 2017-08-05 |
| 1811426695 | Fairfield County Health & Wellness Services II LLC | Psychiatry & Neurology | 325 Reef Road/suite 109, Fairfield, CT 06824 | 2017-06-06 |
| 1487198214 | Evamarie Koehler Elinskas | Speech-Language Pathologist | 50 Potters Lane, Fairfield, CT 06824 | 2016-12-13 |
| 1447794441 | Nicholas C Kopazna | Counselor | 433 Meadow St, Fairfield, CT 06824 | 2016-12-09 |
| 1245686997 | Tyler Wayne Vitzthum | Chiropractor | 1995 Post Rd., Fairfield, CT 06824 | 2016-05-12 |
| 1184087660 | Beth Segaloff | Social Worker | 191 Catherine Terrace, Fairfield, CT 06824 | 2016-04-01 |
| 1518342781 | April Vanbergen | Counselor | 1275 Post Rd., Suite A5, Fairfield, CT 06824 | 2015-07-29 |
| 1982089181 | Mary Cilio | Social Worker | 173 Samp Mortar Drive, Fairfield, CT 06824 | 2015-07-29 |
| Find all providers in zip 06824 | ||||
| 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 |
|---|---|---|---|---|
| 1972119253 | Katie Liston | Speech-Language Pathologist | 1804 County Road 445 N, Fairfield, IL 62837-2973 | 2020-09-22 |
| 1235750621 | Alyson Samson | Speech-Language Pathologist | 3406 Waterbury Way, Fairfield, CA 94534-2940 | 2020-04-27 |
| 1215557541 | Taylor Made Speech Pathology Services | Speech-Language Pathologist | 1234 Empire St Ste 1450, Fairfield, CA 94533-5711 | 2020-04-16 |
| 1326673062 | Jobin Manuel | Speech-Language Pathologist | 1233 Swan Lake Dr, Fairfield, CA 94533-8137 | 2020-03-03 |
| 1376175315 | Sarah Jo Chaney | Speech-Language Pathologist | 402 W Burlington Ave, Ste 200, Fairfield, IA 52556 | 2020-02-07 |
| 1225669856 | Kashala Smith-tavaris | Speech-Language Pathologist | 60 Katona Dr Ste 24, Fairfield, CT 06824-3544 | 2020-02-02 |
| 1942766704 | Colleen Marie Osorio Hernandez | Speech-Language Pathologist | 50 Potters Ln, Fairfield, CT 06824-3113 | 2019-02-18 |
| 1346704269 | Laura Dodd | Speech-Language Pathologist | 3700 Lyon Rd Apt 86, Fairfield, CA 94534-7980 | 2019-01-24 |
| 1053807628 | Kaitlyn Boorin | Speech-Language Pathologist | 55 Walls Dr Ste 204, Fairfield, CT 06824-5163 | 2018-07-07 |
| 1639672264 | Haley Madison Hull | Speech-Language Pathologist | 5184 Gordon Valley Rd, Fairfield, CA 94534-9753 | 2018-03-09 |
| Find all providers in FAIRFIELD | ||||
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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.