MEDICARE: CARING CONNECTIONS PEDIATRIC THERAPY PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist
2	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1114780640
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARING CONNECTIONS PEDIATRIC THERAPY PLLC

Provider Business Mailing Address
First Line	:	1760 HERITAGE CENTER DR STE 103
Second Line	:
City	:	WAKE FOREST
State	:	NC
Zip	:	27587-4094
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1760 HERITAGE CENTER DR STE 103
Second Line	:
City	:	WAKE FOREST
State	:	NC
Zip	:	27587-4094
Country	:	US
Telephone Number	:	919-880-1126
Fax Number	:

Authorized Official
Title or Position	:	OWNER/SPEECH-LANGUAGE PATHOLOGIST
Name	:	MARIA EVANS
Credential	:	MS, CCC-SLP
Telephone Number	:	919-880-1126

Provider Enumeration Date	:	02/06/2024
Last Update Date	:	02/02/2026

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