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NPI Code Detail

MEDICARE: PEDIATRIC THERAPY ASSOCIATES

MEDICARE: PEDIATRIC THERAPY ASSOCIATES
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
1235Z00000XSpeech-Language Pathologist
2172V00000XCommunity Health Worker
3225X00000XOccupational Therapist
4101YM0800XMental Health Counselor
5225100000XPhysical Therapist

General Provider Information

NPI Number : 1447310958
Entity Type Code : Organization
Provider Name (Legal Business Name) : PEDIATRIC THERAPY ASSOCIATES
Provider Business Mailing Address
First Line : 2301 REXWOODS DR STE 118
Second Line :
City : RALEIGH
State : NC
Zip : 27607-3366
Country : US
Telephone Number : 919-781-4434
Fax Number : 919-781-5851
Provider Business Practice Location Address
First Line : 2301 REXWOODS DR STE 118
Second Line :
City : RALEIGH
State : NC
Zip : 27607-3366
Country : US
Telephone Number : 919-781-4434
Fax Number : 919-781-5851
Authorized Official
Title or Position : OWNER, CO-DIRECTOR
Name : MRS. CHERYL S STEPHENSON
Credential : MS, CCC-SLP
Telephone Number : 919-781-4434
Provider Enumeration Date : 12/12/2006
Last Update Date : 06/18/2026

Similar Medicare Providers

1306493655 — DEMI L DOMINGUEZ M.A. CCC-SLP
Practice Location Address:
2301 REXWOODS DR STE 118
RALEIGH, NC
27607-3366
Practice Phone: 919-562-9941
Practice Fax:
1346305224 — MRS. CHERYL SMITH STEPHENSON SLP
Practice Location Address:
2301 REXWOODS DR STE 118
RALEIGH, NC
27607-3366
Practice Phone: 919-781-4434
Practice Fax: 919-781-5851
1851221113 — HAILEY MCCORMACK
Practice Location Address:
2301 REXWOODS DR STE 118
RALEIGH, NC
27607-3366
Practice Phone: 919-781-4434
Practice Fax:
1376112953 — JESSICA NICOLE UFFORD MS, CCC-SLP
Practice Location Address:
2301 REXWOODS DR STE 118
RALEIGH, NC
27607-3366
Practice Phone: 919-781-4434
Practice Fax:
1306779053 — MEGAN BOWLING CF-SLP
Practice Location Address:
2301 REXWOODS DR STE 118
RALEIGH, NC
27607-3366
Practice Phone: 919-781-4434
Practice Fax:
1275523177 — JOHN A LANE MD
Practice Location Address:
2301 REXWOODS DR , SUITE 114
RALEIGH, NC
27607-3366
Practice Phone: 919-235-3369
Practice Fax: 919-235-3367

Directions to “PEDIATRIC THERAPY ASSOCIATES ” Practice Location

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