Collective Therapy Corp. - Medicare Speech-Language Pathologist in Charlotte, NC

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Collective Therapy Corp. is a medicare enrolled "Speech-language Pathologist" provider in Charlotte, North Carolina. Their current practice location is 507 Wakefield Dr Apt C, Charlotte, North Carolina. You can reach out to their office (for appointments etc.) via phone at (919) 332-3221.

Collective Therapy Corp. is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Collective Therapy Corp. is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1396380911.

Contact Information

Collective Therapy Corp.
507 Wakefield Dr Apt C,
Charlotte, NC 28209-3148
(919) 332-3221
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameCollective Therapy Corp.
TypeFacility
SpecialitySpeech-language Pathologist
Location507 Wakefield Dr Apt C, Charlotte, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1396380911
  • Provider Enumeration Date: 11/07/2019
  • Last Update Date: 12/03/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 0143651802
  • Enrollment ID: O20200513000150

Medical Identifiers

Medical identifiers for Collective Therapy Corp. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396380911NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist (* (Not Available))Secondary
225X00000XOccupational Therapist (* (Not Available))Secondary
235Z00000XSpeech-language Pathologist (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Collective Therapy Corp. acts as a billing entity for following providers:
Provider NameJohn H Sherman
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1750452496
PECOS PAC ID: 3870694185
Enrollment ID: I20070730000784
Provider NameDonna Goodwin
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1821172206
PECOS PAC ID: 0840381406
Enrollment ID: I20070810000424
Provider NameCorey Alexander May
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1508938598
PECOS PAC ID: 8325145394
Enrollment ID: I20071002000449
Provider NameStaci L Miller
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1467562900
PECOS PAC ID: 8729052105
Enrollment ID: I20090506000007
Provider NameRui Hu
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1063665958
PECOS PAC ID: 1759434400
Enrollment ID: I20090729000188
Provider NameJeffrey Vito Cruz Ordonio
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1164685368
PECOS PAC ID: 6800027830
Enrollment ID: I20140325002219
Provider NameKenneth Ngwu
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1730585092
PECOS PAC ID: 2062733777
Enrollment ID: I20150607000004
Provider NameMichael E Magalski
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1760853485
PECOS PAC ID: 4981904919
Enrollment ID: I20151124001606
Provider NameMyra J Mason
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1417326745
PECOS PAC ID: 9537469036
Enrollment ID: I20151207001586
Provider NameJulep Ordonio
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1922266154
PECOS PAC ID: 2466749411
Enrollment ID: I20160920000813
Provider NameHeather Ann Vanstory
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1457601486
PECOS PAC ID: 1658521950
Enrollment ID: I20161017000158
Provider NameCarol W Le Baron
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1386000289
PECOS PAC ID: 0547547432
Enrollment ID: I20170502001057
Provider NameKerry Lynn Simpson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1437539004
PECOS PAC ID: 5597071423
Enrollment ID: I20180122002953
Provider NameErin Dacey Strong
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1962889097
PECOS PAC ID: 3870924533
Enrollment ID: I20200513002027
Provider NameBrian Hurley
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1780134924
PECOS PAC ID: 2961833629
Enrollment ID: I20200515001203
Provider NameAdrienne Gay
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1629300900
PECOS PAC ID: 5698106359
Enrollment ID: I20200522001984
Provider NameMichelle Potter Hill
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1477021525
PECOS PAC ID: 1153734645
Enrollment ID: I20201229003084
Provider NameNancy Yamoah
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1821585688
PECOS PAC ID: 9830504190
Enrollment ID: I20210218001260
Provider NameSydney Lee
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1699387068
PECOS PAC ID: 1052739125
Enrollment ID: I20211019000939
Provider NameLauren Rindskopf
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1427715028
PECOS PAC ID: 1153714761
Enrollment ID: I20220203000396
Provider NameKelly T Calhoun
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1083272249
PECOS PAC ID: 9739574211
Enrollment ID: I20220318002349
Provider NameLauren Goetz
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1154775575
PECOS PAC ID: 8921494519
Enrollment ID: I20220407001207
Provider NameVictoria Baker
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1457841124
PECOS PAC ID: 5294156998
Enrollment ID: I20220420001584
Provider NameAmaka Yarru Courts
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1649703950
PECOS PAC ID: 1456748367
Enrollment ID: I20220425000204
Provider NameMindy L Quail
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1790882892
PECOS PAC ID: 2062412588
Enrollment ID: I20220426001565
Provider NameKara Miller
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1245988476
PECOS PAC ID: 0749667319
Enrollment ID: I20220519002931
Provider NameJennifer L Douds
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1861601296
PECOS PAC ID: 6608253216
Enrollment ID: I20220520001604
Provider NameShelby Lynn Philip
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1801207949
PECOS PAC ID: 5395123780
Enrollment ID: I20220525001241
Provider NameKerry Nissen
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1730236985
PECOS PAC ID: 0042491136
Enrollment ID: I20220525001360
Provider NameAllison Hughes
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1437506060
PECOS PAC ID: 4587042189
Enrollment ID: I20220610001256
Provider NameGale Mccall
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1629527130
PECOS PAC ID: 1355609868
Enrollment ID: I20220706000345
Provider NameAmy Whalen
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1679942205
PECOS PAC ID: 7315329471
Enrollment ID: I20220805001423
Provider NameChandi K. Edmonds
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1740338847
PECOS PAC ID: 8022491307
Enrollment ID: I20220818003265
Provider NameErica Luzetski
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1659913366
PECOS PAC ID: 7113301813
Enrollment ID: I20220830000841
Provider NameJoshua Malutan
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1861072894
PECOS PAC ID: 7810385952
Enrollment ID: I20220908003537
Provider NameTaylor Marshall Simmons
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1053892893
PECOS PAC ID: 4284962424
Enrollment ID: I20220916002136
Provider NameStephanie Grobe
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1023733169
PECOS PAC ID: 9537535257
Enrollment ID: I20221021000887
Provider NameStephen Yanchus
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1376001958
PECOS PAC ID: 9133453962
Enrollment ID: I20230120001707
Provider NameLaura Ashley Cook
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1891402707
PECOS PAC ID: 1153793187
Enrollment ID: I20230221000053
Provider NameSherry Lynne Polcyn
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1952620866
PECOS PAC ID: 5698147627
Enrollment ID: I20230221000125
Provider NameJohn Ross Flanagan
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1730754623
PECOS PAC ID: 7315347226
Enrollment ID: I20230424000508
Provider NameDavis Burr Bradley
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1205273075
PECOS PAC ID: 2264673318
Enrollment ID: I20230614002537
Provider NameLindsey Danielle Oakley
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1225643570
PECOS PAC ID: 7618335803
Enrollment ID: I20230620003407
Provider NameLorna Elizabeth Smith
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1053775916
PECOS PAC ID: 4981062007
Enrollment ID: I20230622001627
Provider NameEmma Peterson
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1275252405
PECOS PAC ID: 3971962598
Enrollment ID: I20230629002841
Provider NameLinda Lee Habrowski
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1902013139
PECOS PAC ID: 1658730965
Enrollment ID: I20230705002241
Provider NameLyndsey Gyscek
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1659905511
PECOS PAC ID: 0547620908
Enrollment ID: I20230717001769
Provider NameOluebube Nduka
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1841969631
PECOS PAC ID: 7517365471
Enrollment ID: I20230807001931
Provider NameKelsey L Dufault
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1265802896
PECOS PAC ID: 7315300068
Enrollment ID: I20230828003021
Provider NameRichard Ivy
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1255394219
PECOS PAC ID: 5193154078
Enrollment ID: I20230912004356
Provider NameHannah Tolson
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1720867005
PECOS PAC ID: 3678928256
Enrollment ID: I20231017002998
Provider NameKimberly S Lewis
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1689902876
PECOS PAC ID: 1658727060
Enrollment ID: I20231020001875
Provider NameMichael A Rawlins
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1124802574
PECOS PAC ID: 6305292178
Enrollment ID: I20231031000577
Provider NameCaroline Bracksieck
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1023880028
PECOS PAC ID: 1052768744
Enrollment ID: I20231117001585
Provider NameJordan Spennato
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1841892064
PECOS PAC ID: 8426408311
Enrollment ID: I20231218003999
Provider NameKristine Baltazar
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1629686191
PECOS PAC ID: 8527483627
Enrollment ID: I20240118004065
Provider NamePatricia Raizel Umali Herrington
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1821434507
PECOS PAC ID: 7618329228
Enrollment ID: I20240119000792
Provider NameWynnet Sinclair
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1184823262
PECOS PAC ID: 6608211669
Enrollment ID: I20240229000979
Provider NameBriana Packer
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1558919324
PECOS PAC ID: 5395195168
Enrollment ID: I20240423004333
Provider NameHaley Payne
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1669020715
PECOS PAC ID: 4688906449
Enrollment ID: I20240731002621
Provider NameCayla Lowe
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1942716667
PECOS PAC ID: 3971041765
Enrollment ID: I20240812001438
Provider NameCaitlin Kinsella
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1285159616
PECOS PAC ID: 5698214815
Enrollment ID: I20240830002620
Provider NameMichael Lopez
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1770933905
PECOS PAC ID: 4981143096
Enrollment ID: I20240903001625
Provider NameErin Dulweber
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1457193765
PECOS PAC ID: 9830630094
Enrollment ID: I20240916002630
Provider NameNicole Farino
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1154152973
PECOS PAC ID: 7810438959
Enrollment ID: I20240917002585
Provider NameHilary Meale
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1760875439
PECOS PAC ID: 9436477999
Enrollment ID: I20241003001424
Provider NameDana French Stelzl
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1083443519
PECOS PAC ID: 4385176684
Enrollment ID: I20241011000359
Provider NameJopseph Kijowski
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1255981239
PECOS PAC ID: 0446581995
Enrollment ID: I20241011000924
Provider NameNatalie Sagarbarria
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1265154744
PECOS PAC ID: 8224414800
Enrollment ID: I20241028000612
Provider NameSarah Patterson
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1841421088
PECOS PAC ID: 7315471703
Enrollment ID: I20241107001775
Provider NameTodd Dame
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1649360637
PECOS PAC ID: 0840299590
Enrollment ID: I20241114003800
Provider NameSusan Murray
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1174742811
PECOS PAC ID: 9436683216
Enrollment ID: I20241115002686
Provider NameStephanie Beneville
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1366453789
PECOS PAC ID: 4880797505
Enrollment ID: I20241125003980
Provider NameOlga Hoffer
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1487896536
PECOS PAC ID: 3173059995
Enrollment ID: I20241204000102
Provider NameAaron Lide
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1548647217
PECOS PAC ID: 5395272280
Enrollment ID: I20241217000027
Provider NameAshlyn Renae Richardson
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1184297962
PECOS PAC ID: 7315474319
Enrollment ID: I20250102000632
Provider NameJillian M Devine
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1881206548
PECOS PAC ID: 9133666266
Enrollment ID: I20250114002851
Provider NameRachel Keen
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1316675796
PECOS PAC ID: 4284163528
Enrollment ID: I20250130003391
Provider NameAlexis Miller
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1841967155
PECOS PAC ID: 1557882313
Enrollment ID: I20250310000888

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Collective Therapy Corp. is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Collective Therapy Corp.
507 Wakefield Dr Apt C,
Charlotte, NC 28209-3148

Ph: () -		Collective Therapy Corp.
507 Wakefield Dr Apt C,
Charlotte, NC 28209-3148

Ph: (919) 332-3221

Reviews and Comments


Speech-Language Pathologist in Charlotte, NC

Mrs. Christina Berkau Pope, M.S. CCC-SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 1116 Linda Ln, Charlotte, NC 28211
Phone: 919-815-7184    
Mrs. Lindsay R Starr, MHS CCC-SLP
Speech-Language Pathologist
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Practice Location: 2124 Chatham Ave, Charlotte, NC 28205
Phone: 314-703-8013    
Primus Therapy Services, Pllc
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 9407 Pastern Ct, Charlotte, NC 28216
Phone: 704-779-2663    
Catherine Maria Graye, MS-CCC/SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 1805 Mt Isle Harbor Dr, Charlotte, NC 28214
Phone: 704-277-0294    
Jaesan Pc
Speech-Language Pathologist
Medicare: Medicare Enrolled
Practice Location: 3116 Milton Rd Ste F, Charlotte, NC 28215
Phone: 980-237-6226    Fax: 980-237-6288
Lindsay M White, SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 1100 Blythe Blvd, Charlotte, NC 28203
Phone: 704-355-8484    Fax: 704-355-4231
Ms. Louise B. Felton, CCC-SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 2128 Kaybird Ln, Charlotte, NC 28270
Phone: 704-844-8031    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.