Blue Ridge Pediatric Therapy Llc is a
Speech-language Pathologist based in Carriere, Mississippi. Blue Ridge Pediatric Therapy Llc is licensed to practice in * (Not Available) (license number ) and their current practice location is
46 Windance Dr, Carriere, Mississippi. It can be reached at their office (for appointments etc.) via phone at
(985) 502-3101.
NPI number for Blue Ridge Pediatric Therapy Llc is 1164350013 and their current mailing address is 46 Windance Dr, Carriere, Mississippi. Blue Ridge Pediatric Therapy Llc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1164350013.
Healthcare Provider's Profile
| Full Name | Blue Ridge Pediatric Therapy Llc |
|---|
| Type | Facility |
|---|
| Speciality | Speech-language Pathologist |
|---|
| Location | 46 Windance Dr, Carriere, Mississippi |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1164350013
- Provider Enumeration Date: 05/11/2026
- Last Update Date: 05/11/2026
Medical Identifiers
Medical identifiers for Blue Ridge Pediatric Therapy Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1164350013 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
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. Blue Ridge Pediatric Therapy Llc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Blue Ridge Pediatric Therapy Llc 46 Windance Dr, Carriere, MS 39426-7947 Ph: (985) 502-3101 | Blue Ridge Pediatric Therapy Llc 46 Windance Dr, Carriere, MS 39426-7947 Ph: (985) 502-3101 |
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