Active NPI
Resilience Speech Therapy Services PLLC
- Speech-Language Pathologist
- Edmond, OK
National Provider Identifier
1023638046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amy Annette Elbow, MS, CCC-SLP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 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 DirectoryLocations
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.
-
- Speech-Language Pathologist
- Edmond, OK
- NPI 1629570833
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.