PEDIATRIC DEVELOPMENTAL THERAPY
NPI 1710183991
Rehabilitation Practitioner in Fayetteville, NC
NPI Status: Active since June 25, 2007
Contact Information
1289 OLIVER ST
FAYETTEVILLE, NC
ZIP 28304
Phone: (910) 483-8331
Fax: (910) 483-8335
- Organization
- Rehabilitation Practitioner
- Accepts Insurance
About PEDIATRIC DEVELOPMENTAL THERAPY
This page provides the complete NPI Profile along with additional information for Pediatric Developmental Therapy, a provider established in Fayetteville, North Carolina operating as a Rehabilitation Practitioner. The healthcare provider is registered in the NPI registry with number 1710183991 assigned on June 2007. The practitioner's primary taxonomy code is 225400000X. The provider is registered as an organization and their NPI record was last updated 12 years ago. The authorized official of this NPI record is Haden Payne Boliek Ms Ccc Slp (Owner)
- NPI
- 1710183991
- Provider Name
- PEDIATRIC DEVELOPMENTAL THERAPY
- Entity Type
- Organization
- Location Address
- 1289 OLIVER ST FAYETTEVILLE, NC 28304
- Location Phone
- (910) 483-8331
- Location Fax
- (910) 483-8335
- Mailing Address
- PO BOX 87294 FAYETTEVILLE, NC 28304
- Mailing Phone
- (910) 483-8331
- Mailing Fax
- (910) 483-8335
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-25-2007
- Last Update Date
- 08-15-2013
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Rehabilitation Practitioner
- Taxonomy Code
- 225400000X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License State
- NC
- Taxonomy Description
- A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 251S00000X | Agencies | Community/Behavioral Health |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Adult Dental+Vision - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8301184 | MEDICAID (05) | NC |
Reviews for PEDIATRIC DEVELOPMENTAL THERAPY
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 1 | 0 | 1 | 8 | 3 | 9 | 9 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 2 | 0 | 2 | 8 | 6 | 9 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 2 + 0 + 2 + 8 + 6 + 9 + 1 + 8 + 24 = 69 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 69 = 1 | 1 | ||||||||
The NPI number 1710183991 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1730137662 | PAULA FISCHER MACCCSLP Individual | Speech-Language Pathologist | 1289 OLIVER ST FAYETTEVILLE, NC 28304 (910) 483-8331 |
| 1811043375 | LISA WHITTENTON OT Individual | Occupational Therapist (Pediatrics) | 1289 OLIVER ST FAYETTEVILLE, NC 28304 (910) 483-8331 |
| 1073659983 | APRIL PETERSON SLP Individual | Speech-Language Pathologist | 1289 OLIVER ST FAYETTEVILLE, NC 28304 (910) 483-8331 |
| 1508062258 | JESSICA HASSELL Individual | Speech-Language Pathologist | 1289 OLIVER ST FAYETTEVILLE, NC 28304 (910) 483-8331 |
| 1699971606 | NELL PAYNE Individual | Rehabilitation Practitioner | 1289 OLIVER ST FAYETTEVILLE, NC 28304 (910) 483-8331 |
| 1316146525 | MRS. JENNIFER KINLAW DAVIS MSCCC-SLP Individual | Speech-Language Pathologist | 1289 OLIVER ST FAYETTEVILLE, NC 28304 (910) 483-8331 |
| 1720236797 | KRISTIN MCCORMICK PT Individual | Physical Therapist | 1289 OLIVER ST FAYETTEVILLE, NC 28304 (910) 483-8331 |
| 1851544308 | SARA B WATTS SLP Individual | Speech-Language Pathologist | 1289 OLIVER ST FAYETTEVILLE, NC 28304 (910) 483-8331 |
| 1013159920 | LADINE LIPINSKI OT Individual | Occupational Therapist (Pediatrics) | 1289 OLIVER ST FAYETTEVILLE, NC 28304 (910) 483-8331 |
| 1023250941 | STACY WILSON SLP Individual | Speech-Language Pathologist | 1289 OLIVER ST FAYETTEVILLE, NC 28304 (910) 483-8331 |
| 1568794048 | AMY MILLER DPT Individual | Physical Therapist | 1289 OLIVER ST FAYETTEVILLE, NC 28304 (910) 483-8331 |
| 1396077871 | DANA REDNOUR PT Individual | Physical Therapist | 1289 OLIVER ST FAYETTEVILLE, NC 28304 (910) 483-8331 |
| 1518299098 | MARY FRANCES SYFAN SLP Individual | Speech-Language Pathologist | 1289 OLIVER ST FAYETTEVILLE, NC 28304 (910) 483-8331 |
| 1285966762 | RACHEL GRIFFITH OT Individual | Occupational Therapist | 1289 OLIVER ST FAYETTEVILLE, NC 28304 (910) 483-8331 |
| 1154629749 | DR. TERI R TRAVISANO PT, DPT Individual | Physical Therapist | 1289 OLIVER ST FAYETTEVILLE, NC 28304 (910) 483-8331 |
| 1417255589 | CAROLINE MCGANN OTR/L Individual | Occupational Therapist | 1289 OLIVER ST FAYETTEVILLE, NC 28304 (910) 483-8331 |
| 1174805378 | GENEVIEVE DEVEYRA MS, CF-SLP Individual | Speech-Language Pathologist | 1289 OLIVER ST FAYETTEVILLE, NC 28304 (910) 483-8331 |
| 1598034290 | JILLIAN PAIGE TROMBETTA MSOT/L Individual | Occupational Therapist | 1289 OLIVER ST FAYETTEVILLE, NC 28304 (910) 483-8331 |
| 1457625386 | MRS. KIRSTEN BROOKE WILLIAMS M.S. Individual | Rehabilitation Practitioner | 1289 OLIVER ST FAYETTEVILLE, NC 28304 (910) 483-8331 |
| 1497003743 | LINDSEY LEA BOSTICK M.S. CCC-SLP Individual | Speech-Language Pathologist | 1289 OLIVER ST FAYETTEVILLE, NC 28304 (910) 483-8331 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1710183991, enumerated in the NPI registry as an "organization" on June 25, 2007
The provider is located at 1289 Oliver St Fayetteville, Nc 28304 and the phone number is (910) 483-8331
This medical organization specializes in Rehabilitation Practitioner with taxonomy code 225400000X
The provider might be accepting Accepts: Aetna CVS Health, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on June 25, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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