Piedmont Advanced Therapy
Speech-Language Pathologist, in Greensboro, NC. Organization (NPI-2).
NPI number1962077784
StatusActive
Last updated in NPPESNov 13, 2025
Details
- NPI
- 1962077784
- Entity type
- Organization (NPI-2)
- Legal business name
- Piedmont Advanced Therapy
- Organization subpart
- No
- Enumeration date
- May 24, 2021
- Certification date
- Nov 13, 2025
- Last updated
- Nov 13, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | – | – | Yes |
| 225X00000X | Occupational Therapist | – | – | |
| 225100000X | Physical Therapist | – | – |
Practice location
5501 Adams Farm Ln Unit FGreensboro, NC 27407-7098
Phone 704-578-4128
Mailing address
403 Oneil DrJamestown, NC 27282-9796
Phone 704-578-4128
Authorized official
Katlyn Fry
Owner
7045784128
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