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INTERACTIVE THERAPIES & FITNESS INC. NPI 1356470728


NPI Information

NPI: 1356470728
Provider Name: INTERACTIVE THERAPIES & FITNESS, INC.

Former Legal Business Name: INTERACTIVE THERAPIES

Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Organization
Address:
3329 OWLS ROOST RD
GREENSBORO, NC
ZIP 27410
Phone: (336) 209-6927
Get Directions

INTERACTIVE THERAPIES & FITNESS, INC. is a speech language pathologist in Greensboro, 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. INTERACTIVE THERAPIES & FITNESS, INC. NPI is 1356470728. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Interactive Therapies.

The provider's business location address is:

3329 OWLS ROOST RD
GREENSBORO, NC
ZIP 27410-746
Phone: (336) 209-6927
Fax: (336) 294-4216

The provider's authorized official is Tiffany W. Dohner .
The authorized official title is Owner and has the following contact phone number (336) 209-6927.

The enumeration date for this NPI number is 3/3/2007 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1235Z00000XSpeech-Language Pathologist5388NORTH 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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17412106MEDICAIDNORTH CAROLINA
27412404MEDICAIDNORTH CAROLINA
37211502MEDICAIDNORTH CAROLINA
47411719MEDICAIDNORTH 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: 4/28/2024

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