PEDIATRIC THERAPY NETWORK NPI 1225459605

NPI Information

NPI: 1225459605
Provider Name: PEDIATRIC THERAPY NETWORK
Classification: Physical Therapist - 2251P0200X
Specialization: Pediatrics
Entity Type: Organization
CLIA Number: 34D2089092
Address: 1040 SOUTHGATE CORPORATE PARK SW
HICKORY, NC
ZIP 28602
Phone: (828) 358-3115

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NPI Details

PEDIATRIC THERAPY NETWORK is a pediatrics physical therapist in Hickory, NC. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given. PEDIATRIC THERAPY NETWORK NPI is 1225459605. The provider is registered as an organization entity type.

The provider's business location address is:

1040 SOUTHGATE CORPORATE PARK SW
HICKORY, NC
ZIP 28602-518
Phone: (828) 358-3115
Fax: (866) 433-2198

The provider's authorized official is Heather Buckley Landry .
The authorized official title is Owner/physical Therpaist and has the following contact phone number (828) 358-3115.

The CLIA number assigned to this NPI record is 34D2089092 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/2/2014 and was last updated on 1/20/2021.

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
1	251S00000X	Community/Behavioral Health		52602014002	NORTH CAROLINA	No
2	225100000X	Physical Therapist		8732	NORTH CAROLINA	No
3	225X00000X	Occupational Therapist				No
4	225XF0002X	Occupational Therapist	Feeding, Eating & Swallowing			No
5	225XP0200X	Occupational Therapist	Pediatrics			No
6	235Z00000X	Speech-Language Pathologist				No
7	2251P0200X	Physical Therapist	Pediatrics	8732	NORTH CAROLINA	Yes

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
1	1528378171	MEDICAID	NORTH 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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