Pediatric Therapy Associates

LBN: Pediatric Therapy Associates
Pediatric Therapy Associates is an health care organization with primary practice located at 4201 Lake Boone Trail Suite 4, Raleigh NC 27607-7511. The organization recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Community Health Worker, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is the primary health care specialty. Pediatric Therapy Associates can be contacted via phone (919) 781-4434, or through Dickinson, Lu K via phone (919) 781-4434.

Contact Information

Primary practice address
4201 Lake Boone Trail Suite 4 Raleigh NC 27607-7511
Phone: (919) 781-4434
Fax: (919) 781-5851
Website:
Map and Directions
Authorized official contact:
Name: Dickinson, Lu K
Phone: (919) 781-4434

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Other Service Providers / Community Health Worker 172V00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X

Profile Details

NPI number 1447310958
LBN Legal business name Pediatric Therapy Associates
DBA Doing business as
Authorized official Dickinson, Lu K
Entity Organization
Organization subpart 1 No
Enumeration date Dec 12th, 2006
Last updated Feb 26th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447310958 NPPES
North Carolina MEDICAID 7211307
North Carolina Other 07794
North Carolina MEDICAID 7211306
North Carolina MEDICAID 8300000

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