VALDOSTA PEDIATRIC THERAPY SERVICES
NPI 1629121272
Speech-Language Pathologist in Valdosta, GA

NPI Status: Active since January 18, 2007

Contact Information

202 W PARK AVE
VALDOSTA, GA
ZIP 31602
Phone: (229) 253-8500
Fax: (229) 253-8522

NPI Profile Information
Primary Taxonomy
Group Taxonomy
Insurance Plans Accepted
Authorized Official
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Speech-Language Pathologist

About VALDOSTA PEDIATRIC THERAPY SERVICES

This page provides the complete NPI Profile along with additional information for Valdosta Pediatric Therapy Services, a provider established in Valdosta, Georgia operating as a Speech-language Pathologist. The healthcare provider is registered in the NPI registry with number 1629121272 assigned on January 2007. The practitioner's primary taxonomy code is 235Z00000X with license number 005367 (GA). The provider is registered as an organization and their NPI record was last updated 18 years ago. Valdosta Pediatric Therapy Services operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Valdosta Pediatric Therapy Services. The authorized official of this NPI record is Mrs. Kathryn Reagan Ccc-slp (Speech And Language Pathologist)

NPI: 1629121272
Provider Legal Name: TRI STATE REHABILITATION INC
Other Organization Name: VALDOSTA PEDIATRIC THERAPY SERVICES
Other Name Type: Doing Business As (3)
Entity Type: Organization
Location Address: 202 W PARK AVE VALDOSTA, GA 31602
Location Phone: (229) 253-8500
Location Fax: (229) 253-8522
Mailing Address: 202 W PARK AVE VALDOSTA, GA 31602
Mailing Phone: (229) 253-8500
Mailing Fax: (229) 253-8522
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 01-18-2007
Last Update Date: 07-16-2007
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
License No.: 005367
License State: GA
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.

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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Blue Cross Blue Shield

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

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.

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: MRS. KATHRYN REAGAN CCC-SLP
Authorized Official Title: SPEECH AND LANGUAGE PATHOLOGIST
Authorized Official Phone: (229) 253-8500

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
52171814	OTHER (01)	GA	BLUE CROSS BLUE SHIELD

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	6	2	9	1	2	1	2	7	2
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	6	4	9	2	2	2	2	14
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 4 + 9 + 2 + 2 + 2 + 2 + 1 + 4 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 2									2

The NPI number 1629121272 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.