Provider Demographics
NPI:1023883857
Name:INSPIRA PEDIATRIC THERAPY, PLLC
Entity type:Organization
Organization Name:INSPIRA PEDIATRIC THERAPY, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:NADIA
Authorized Official - Middle Name:SARA
Authorized Official - Last Name:BARTOLOTTA
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:919-961-7338
Mailing Address - Street 1:4752 SWORDFISH DR
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27603-5348
Mailing Address - Country:US
Mailing Address - Phone:919-901-0065
Mailing Address - Fax:
Practice Address - Street 1:4752 SWORDFISH DR
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27603-5348
Practice Address - Country:US
Practice Address - Phone:919-901-0065
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-21
Last Update Date:2024-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
No225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Multi-Specialty