Provider Type Icon

CHILDREN'S THERAPY CTR INC NPI 1053450742


NPI Information

NPI: 1053450742
Provider Name: CHILDREN'S THERAPY CTR, INC
Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Organization
Address:
14635 PENNOCK AVE
#300
APPLE VALLEY, MN
ZIP 55124
Phone: (952) 997-2823
Get Directions

CHILDREN'S THERAPY CTR, INC is a speech language pathologist in Apple Valley, MN. The provider is 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. CHILDREN'S THERAPY CTR, INC NPI is 1053450742. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

14635 PENNOCK AVE
#300
APPLE VALLEY, MN
ZIP 55124-430
Phone: (952) 997-2823
Fax: (952) 997-6931

The provider's authorized official is Susan Ann Fuller .
The authorized official title is Owner and has the following contact phone number (651) 994-9644.

The enumeration date for this NPI number is 2/6/2007 and was last updated on 8/10/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12251P0200XPhysical TherapistPediatricsMINNESOTANo
2225XP0200XOccupational TherapistPediatricsMINNESOTANo
3235Z00000XSpeech-Language PathologistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1962S7CHOTHERMINNESOTABCBS SP
2521091043137OTHERMINNESOTAPREFERRED ONE
3043755700MEDICAIDMINNESOTA
47610098OTHERMINNESOTAAETNA
5960S0CHOTHERMINNESOTABCBS OT
6105647OTHERMINNESOTAHEALTHPARTNERS
7965S5CHOTHERMINNESOTABCBS PT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.