NPIMap

Organization Active NPI

Ams Speech Therapy, P.C.

  • Speech-Language Pathologist
  • Waterloo, IL
National Provider Identifier
1003206848
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
AMS SPEECH THERAPY, P.C.
Practice address
315 E 4TH St
Waterloo, IL 62298-1603
Phone
(618) 939-7761
Fax
(855) 606-6318
NPI assigned
Feb 2, 2015
Last updated
May 22, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ashley Melby Schanks, M.S. CCC-SLP/LNPI 1285955971
Title
Owner
Phone
(815) 545-7761

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X
Pediatric Occupational Therapist 225XP0200X
Speech-Language Pathologist 235Z00000X Primary
Early Intervention Provider Agency 252Y00000X 146.010700 IL

Addresses

Primary practice location

315 E 4TH St
Waterloo, IL 62298-1603

Mailing address

315 E 4TH St
Waterloo, IL 62298-1603
Phone (815) 545-7761

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1422835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716336000000",
    "number": "1003206848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 E 4TH ST",
            "city": "WATERLOO",
            "state": "IL",
            "postal_code": "622981603",
            "telephone_number": "815-545-7761",
            "fax_number": "855-606-6318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 E 4TH ST",
            "city": "WATERLOO",
            "state": "IL",
            "postal_code": "622981603",
            "telephone_number": "618-939-7761",
            "fax_number": "855-606-6318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMS SPEECH THERAPY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-02",
        "last_updated": "2024-05-22",
        "certification_date": "2023-08-17",
        "status": "A",
        "authorized_official_last_name": "SCHANKS",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "MELBY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-545-7761",
        "authorized_official_credential": "M.S. CCC-SLP/L"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "IL",
            "license": "146.010700",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterloo, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.