Organization
CAROLINA PEDIATRIC THERAPY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA MILEY (PRESIDENT)
(919) 622-7496
Entity
Organization
Contact information
Practice address
8321 OLD PONDEROSA CIR, RALEIGH, NC 27603-8721
(919) 622-7496
(919) 779-7880
Mailing address
8321 OLD PONDEROSA CIR, RALEIGH, NC 27603-8721
(919) 622-7496
(919) 779-7880
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
225X00000X
Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
018PX
BCBS GROUP NUMBER
NC
05
—
7211494
—
NC
Enumeration date
01/22/2007
Last updated
09/11/2025
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