NPIMap

Organization Active NPI

Syntactics LLC

  • Speech-Language Pathologist
  • Ashburn, VA
National Provider Identifier
1013120179
Registry record updated Mar 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2202004766 Issued in VA
Legal business name
SYNTACTICS LLC
Practice address
44081 Pipeline PLZ Ste 200
Ashburn, VA 20147
Phone
(301) 424-7701
Fax
(301) 424-7703
NPI assigned
May 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2019

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

Authorized official

Name
Dr. Grace Park, PH.D., CCC-SLP
Title
Owner, Clinical Director, SLP
Phone
(703) 729-6291

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 235Z00000X 2202004766 VA Primary

Addresses

Primary practice location

44081 Pipeline PLZ Ste 200
Ashburn, VA 20147

Mailing address

932 Hungerford Drive
Suite 29a
Rockville, MD 20850-1752
Phone (301) 424-7701

Other practice location 1

932 Hungerford Dr
Suite 29A
Rockville, MD 20850-1713
Phone (301) 424-7701

Other identifiers 4

IdentifierTypeStateIssuer
831BSYOtherMDCAREFIRST BCBS
9350944OtherMDCIGNA
K515 0001OtherMDBCBS GHMSI
K515 0001OtherDCCAREFIRST BCBS

Other names 1

  • Syntacitics Speech & Language Pathology Service Other name

National Provider Directory

National Provider Directory

Locations

932 Hungerford Dr
Ste 29A
Rockville, MD 20850
Phone (301) 217-9222

44081 Pipeline Plz
Ste 200
Ashburn, VA 20147
Phone (703) 651-5910

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553558400000",
    "number": "1013120179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "932 HUNGERFORD DRIVE",
            "address_2": "SUITE 29A",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208501752",
            "telephone_number": "301-424-7701",
            "fax_number": "301-424-7703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44081 PIPELINE PLZ STE 200",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "20147",
            "telephone_number": "301-424-7701",
            "fax_number": "301-424-7703"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "932 Hungerford Dr",
            "address_2": "Suite 29A",
            "address_purpose": "LOCATION",
            "city": "Rockville",
            "state": "MD",
            "postal_code": "208501713",
            "country_code": "US",
            "telephone_number": "301-424-7701",
            "fax_number": "301-424-7703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SYNTACTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2019-03-26",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "OWNER, CLINICAL DIRECTOR, SLP",
        "authorized_official_telephone_number": "703-729-6291",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202004766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS",
            "identifier": "831BSY",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "9350944",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GHMSI",
            "identifier": "K515 0001",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS",
            "identifier": "K515 0001",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Syntacitics Speech & Language Pathology Service",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Syntacitics Speech & Language Pathology Service",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ashburn, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2019; 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.