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PEDIATRIC DEVELOPMENTAL THERAPY
NPI 1710183991
Rehabilitation Practitioner in Fayetteville, NC

Active since June 25, 2007
1289 OLIVER ST, FAYETTEVILLE, NC 28304(910) 483-8331(910) 483-8335 Get Directions Write a Review

NPPES record last updated: August 15, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pediatric Developmental Therapy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEDIATRIC DEVELOPMENTAL THERAPY (NPI 1710183991) is a healthcare organization registered as a rehabilitation practitioner in Fayetteville, North Carolina and active in the NPI registry since June 2007. The organization lists Haden Payne Boliek, Owner, as its authorized official.

NPPES Registry Identity

NPI1710183991
Entity TypeOrganization
Primary Taxonomy225400000X
Legal Business NamePEDIATRIC DEVELOPMENTAL THERAPY
Location Address1289 OLIVER STFayetteville, NC 28304-4450
Mailing AddressPo Box 87294Fayetteville, NC 28304-7294 · (910) 483-8331 · Fax (910) 483-8335
Phone(910) 483-8331
Fax(910) 483-8335
Organization SubpartNo
Authorized OfficialHaden Payne BoliekOwner · (910) 483-8331
Enumeration DateJune 25, 2007
Last NPPES UpdateAugust 15, 2013
✔ NPI 1710183991 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225400000X
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
1289 OLIVER ST, Fayetteville, NC 28304
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Other Identifiers 1

Medicaid8301184NC

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KRISTI WILKINS
Physical Therapist
1289 OLIVER ST
FAYETTEVILLE, NC 28304
Cumberland County (910) 483-8331
KRISTEN ANNA SINGLEMAN MS CCC-SLP
Speech-Language Pathologist
1289 OLIVER ST
FAYETTEVILLE, NC 28304
Cumberland County (910) 483-8331
LADINE LIPINSKI OT
Occupational Therapist (Pediatrics)
1289 OLIVER ST
FAYETTEVILLE, NC 28304
Cumberland County (910) 483-8331
MELISSA RACHEL BROWN OTD, OTR/L
Occupational Therapist
1289 OLIVER ST
FAYETTEVILLE, NC 28304
Cumberland County (910) 483-8331
TOBI ALYSSA FULLER PT, DPT
Physical Therapist
1289 OLIVER ST
FAYETTEVILLE, NC 28304
Cumberland County (910) 483-8331
STACY WILSON SLP
Speech-Language Pathologist
1289 OLIVER ST
FAYETTEVILLE, NC 28304
Cumberland County (910) 483-8331
ELIZABETH B PETERSON PT
Physical Therapist
1289 OLIVER ST
FAYETTEVILLE, NC 28304
Cumberland County (910) 483-8331
KELLY REICHERT
Occupational Therapist
1289 OLIVER ST
FAYETTEVILLE, NC 28304
Cumberland County (910) 483-8331

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pediatric Developmental Therapy's NPI number?

The NPI number for Pediatric Developmental Therapy is 1710183991. It was assigned to this organization in the NPPES registry on June 25, 2007.

Where is Pediatric Developmental Therapy located?

Pediatric Developmental Therapy is located at 1289 Oliver St, Fayetteville, NC 28304. The listed phone number is (910) 483-8331.

What is Pediatric Developmental Therapy's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

When was this NPI record last updated?

The NPPES record for Pediatric Developmental Therapy was last updated on August 15, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.