Organization Active NPI

Resilience Speech Therapy Services PLLC

  • Speech-Language Pathologist
  • Edmond, OK
National Provider Identifier
1023638046
Registry record updated Apr 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
RESILIENCE SPEECH THERAPY SERVICES PLLC
Practice address
2624 Merlot CT
Edmond, OK 73012-0930
Phone
(405) 204-8935
NPI assigned
Apr 20, 2020
Last updated
Apr 20, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2020

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

Authorized official

Name
Amy Annette Elbow, MS, CCC-SLPNPI 1629570833
Title
Owner
Phone
(405) 204-8935

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

2624 Merlot CT
Edmond, OK 73012-0930

Mailing address

2624 Merlot CT
Edmond, OK 73012-0930
Phone (405) 204-8935

National Provider Directory

National Provider Directory

Locations

2451 S Kelly Ave
Ste 110
Edmond, OK 73013

Practitioners & affiliated clinicians

Practitioners 1

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": "1587340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587340800000",
    "number": "1023638046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2624 MERLOT CT",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730120930",
            "telephone_number": "405-204-8935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2624 MERLOT CT",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730120930",
            "telephone_number": "405-204-8935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESILIENCE SPEECH THERAPY SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-20",
        "last_updated": "2020-04-20",
        "certification_date": "2020-04-20",
        "status": "A",
        "authorized_official_last_name": "ELBOW",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "ANNETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-204-8935",
        "authorized_official_credential": "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 Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2020; 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.