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Red Door Pediatric Therapy, Inc

Speech-Language Pathologist in Bismarck, ND · enumerated 2006 · authorized official Tia-Lee Whitted, Financial/Credentialing.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1639257033

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Registry record

Entity type Organization (Type 2)
Legal business name Red Door Pediatric Therapy, Inc
Other name <Unavail>
Practice address 2625 N 19th St, Bismarck, ND, 58503
Phone (701) 222-3175
Fax (701) 222-3186
Enumeration date Nov 2, 2006
Last updated in NPPES Dec 5, 2024

Taxonomy & classification

101YP2500X Professional Counselor Behavioral Health & Social Service Providers Secondary
225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Secondary
225X00000X Occupational Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License 908 (ND) Secondary
235Z00000X Speech-Language Pathologist Speech, Language and Hearing Service Providers · License 862 (ND) Primary

Authorized official

Name Tia-Lee Whitted
Title Financial/Credentialing
Phone (701) 214-5617

Other identifiers

Identifier Type State Issuer
1451283 Medicaid ND -
1461975 Medicaid ND -
1467615 Medicaid ND -
1469028 Medicaid ND -
1470224 Medicaid ND -
1480766 Medicaid ND -
1452184 Medicaid ND -
1454835 Medicaid ND -
1480013 Medicaid ND -
1468739 Medicaid ND -
1459139 Medicaid ND -
1461503 Medicaid ND -
1465117 Medicaid ND -
1465122 Medicaid ND -
1466654 Medicaid ND -
1474097 Medicaid ND -
1454897 Medicaid ND -
1459816 Medicaid ND -
1477950 Medicaid ND -
1477997 Medicaid ND -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Red Door Pediatric Therapy, Inc?
NPPES lists Tia-Lee Whitted (Financial/Credentialing) as the authorized official for this organization.
What is the NPI number for Red Door Pediatric Therapy, Inc?
The NPI for Red Door Pediatric Therapy, Inc is 1639257033, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-12-05.