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Pediatric Developmental Therapy

Rehabilitation Practitioner in Fayetteville, NC · enumerated 2007 · authorized official Haden Boliek, Owner.

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

National Provider Identifier

1710183991

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Registry record

Entity type Organization (Type 2)
Legal business name Pediatric Developmental Therapy
Practice address 1289 Oliver St, Fayetteville, NC, 28304
Fax (910) 483-8335
Enumeration date Jun 25, 2007
Last updated in NPPES Aug 15, 2013

Taxonomy & classification

225400000X Rehabilitation Practitioner Respiratory, Developmental, Rehabilitative and Restorative Service Providers Primary
251S00000X Community/Behavioral Health Agency Agencies Secondary

Authorized official

Name Haden Boliek
Title Owner

Other identifiers

Identifier Type State Issuer
8301184 Medicaid NC -

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

What type of organization is Pediatric Developmental Therapy?
Pediatric Developmental Therapy is registered in NPPES as a Rehabilitation Practitioner (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-08-15.