Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Pediatric Developmental Therapy

Speech-Language Pathologist in Fayetteville, NC · enumerated 2006 · authorized official Haden Boliek, President.

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

National Provider Identifier

1730137779

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)

Legal business name Pediatric Developmental Therapy

Practice address 1289 Oliver St, Fayetteville, NC, 28304

Phone (910) 483-8331

Fax (910) 483-8335

Enumeration date May 4, 2006

Last updated in NPPES Aug 30, 2016

Taxonomy & classification

225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Secondary

225X00000X Occupational Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Secondary

225XP0200X Pediatric Occupational Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Secondary

235Z00000X Speech-Language Pathologist Speech, Language and Hearing Service Providers Primary

Authorized official

Name Haden Boliek

Title President

Phone (910) 483-8331

Other identifiers

Identifier	Type	State	Issuer
7210315	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.

Read the full guide → Validate an NPI →

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2016-08-30. Verify at npiregistry.cms.hhs.gov.

Where is Pediatric Developmental Therapy located?

The practice location on file with NPPES is in Fayetteville, NC.

Providers at this address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-08-30.