INNOVATIVE THERAPY SOLUTIONS PLLC NPI 1083033690

NPI Information

  • NPI: 1083033690
  • Provider Name: INNOVATIVE THERAPY SOLUTIONS, PLLC
  • Classification: Speech-Language Pathologist - 235Z00000X
  • Entity Type: Organization
  • Address: 2084 LONGWOOD DR
    CREEDMOOR, NC
    ZIP 27522
  • Phone: (866) 611-2144

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NPI Details

INNOVATIVE THERAPY SOLUTIONS, PLLC is a speech language pathologist in Creedmoor, NC. 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. INNOVATIVE THERAPY SOLUTIONS, PLLC NPI is 1083033690. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2084 LONGWOOD DR
CREEDMOOR, NC
ZIP 27522-110
Phone: (866) 611-2144
Fax: (866) 209-1103

The provider's authorized official is Katrina Green Paschall .
The authorized official title is Owner/speech Language Pathologist and has the following contact phone number (770) 807-5829.

The enumeration date for this NPI number is 4/10/2014 and was last updated on 4/10/2014.

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
1235Z00000XSpeech-Language Pathologist10541NORTH CAROLINAYes

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
11477780377MEDICAIDNORTH CAROLINA

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: 11/21/2025

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