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PEDIATRIC DEVELOPMENTAL THERAPY
NPI 1730137779
Speech-Language Pathologist in Fayetteville, NC

Active since May 04, 2006
1289 OLIVER ST, FAYETTEVILLE, NC 28304(910) 483-8331(910) 483-8335 Get Directions Write a Review

NPPES record last updated: August 30, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Pediatric Developmental Therapy NPPES

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

PEDIATRIC DEVELOPMENTAL THERAPY (NPI 1730137779) is a healthcare organization registered as a speech-language pathologist in Fayetteville, North Carolina and active in the NPI registry since May 2006. The organization lists Haden Payne Boliek, President, as its authorized official.

NPPES Registry Identity

NPI1730137779
Entity TypeOrganization
Primary Taxonomy235Z00000X
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 BoliekPresident · (910) 483-8331
Enumeration DateMay 4, 2006
Last NPPES UpdateAugust 30, 2016
✔ NPI 1730137779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
Definition
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.
Also ListedPhysical TherapistTaxonomy 225100000X
Also ListedOccupational TherapistTaxonomy 225X00000X
Also ListedOccupational Therapist · PediatricsTaxonomy 225XP0200X
1289 OLIVER ST, Fayetteville, NC 28304
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Other Identifiers 1

Medicaid7210315NC

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

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 1730137779. It was assigned to this organization in the NPPES registry on May 4, 2006.

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 Speech-Language Pathologist with taxonomy code 235Z00000X.

What insurance does Pediatric Developmental Therapy accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Pediatric Developmental Therapy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pediatric Developmental Therapy was last updated on August 30, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.