GATEWAY PEDIATRIC THERAPY NPI 1477910859

NPI Information

  • NPI: 1477910859
  • Provider Name: GATEWAY PEDIATRIC THERAPY
  • Classification: Speech-Language Pathologist - 235Z00000X
  • Entity Type: Organization
  • Address: 501 GATEWAY DR
    SUITE 101 E
    CLAYTON, NC
    ZIP 27520
  • Phone: (919) 578-8096

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NPI Details

GATEWAY PEDIATRIC THERAPY is a speech language pathologist in Clayton, 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. GATEWAY PEDIATRIC THERAPY NPI is 1477910859. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

501 GATEWAY DR
SUITE 101 E
CLAYTON, NC
ZIP 27520-277
Phone: (919) 578-8096
Fax: (844) 407-5282

The provider's authorized official is Randi Thomas .
The authorized official title is Managing Partner/slp and has the following contact phone number (919) 578-8096.

The enumeration date for this NPI number is 1/15/2016 and was last updated on 1/15/2016.

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 Pathologist10547NORTH CAROLINAYes

What is NPI?

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This page was last updated on: 11/21/2025

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