Organization Active NPI

BG Speech Therapy LLC

  • Speech-Language Pathologist
  • Woburn, MA
National Provider Identifier
1013635440
Registry record updated Aug 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
BG SPEECH THERAPY LLC
Practice address
576 Main St
Woburn, MA 01801-7130
Phone
(781) 710-8111
NPI assigned
Aug 22, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2022

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

Authorized official

Name
Bianca Gizzi Fusco, MED, MS, CCC-SLPNPI 1518606375
Title
Owner/SLP
Phone
(781) 781-1111

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 1

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

Addresses

Primary practice location

576 Main St
Woburn, MA 01801-7130

Mailing address

7 Ganley Dr
Burlington, MA 01803-4208

National Provider Directory

National Provider Directory

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": "1661126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661126400000",
    "number": "1013635440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 GANLEY DR",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018034208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "576 MAIN ST",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018017130",
            "telephone_number": "781-710-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BG SPEECH THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-22",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A",
        "authorized_official_last_name": "FUSCO",
        "authorized_official_first_name": "BIANCA",
        "authorized_official_middle_name": "GIZZI",
        "authorized_official_title_or_position": "OWNER/SLP",
        "authorized_official_telephone_number": "781-781-1111",
        "authorized_official_credential": "MED, MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woburn, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; 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.