WALNUT RIDGE THERAPY
NPI 1417766189
Speech-Language Pathologist in Advance, NC

Active since January 06, 2025
147 SCOTCH MOSS DR, ADVANCE, NC 27006(336) 408-5970 Get Directions Write a Review

NPPES record last updated: January 6, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Speech-Language Pathologist

About WALNUT RIDGE THERAPY

This page provides the complete NPI Profile along with additional information for Walnut Ridge Therapy, a provider established in Advance, North Carolina operating as a Speech-language Pathologist. The healthcare provider is registered in the NPI registry with number 1417766189 assigned on January 2025. The practitioner's primary taxonomy code is 235Z00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Walnut Ridge Therapy operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dayna Kasel Nowicki (Owner)

NPI
1417766189 Verify this NPI
Provider Name
WALNUT RIDGE THERAPY
Entity Type
Organization
Location Address
147 SCOTCH MOSS DR ADVANCE, NC 27006
Location Phone
(336) 408-5970
Mailing Address
147 SCOTCH MOSS DR ADVANCE, NC 27006
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-06-2025
Last Update Date
01-06-2025
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

Speech-Language Pathologist

Taxonomy Code
235Z00000X
Type
Speech, Language and Hearing Service Providers
Taxonomy Description
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.

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)
1225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Occupational Therapist

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DAYNA KASEL NOWICKI

Authorized Official Title
OWNER
Authorized Official Phone
(336) 408-5970

Reviews for WALNUT RIDGE THERAPY

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417766189, enumerated as an "organization" on January 06, 2025.

The provider is located at 147 SCOTCH MOSS DR ADVANCE, NC 27006 and the phone number is (336) 408-5970.

Speech-Language Pathologist with taxonomy code 235Z00000X.