NPIMap

Organization Active NPI

Mayes County Speech Therapy Services P.L.L.C.

  • Speech-Language Pathologist
  • Pryor, OK
National Provider Identifier
1033248356
Registry record updated Dec 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
3168 Issued in OK
Legal business name
MAYES COUNTY SPEECH THERAPY SERVICES P.L.L.C.
Practice address
510 S Elliott St
Pryor, OK 74361-6411
Phone
(918) 825-4837
NPI assigned
Mar 4, 2007
Last updated
Dec 7, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2007

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

Authorized official

Name
Mrs. Tina Michell Van Horn, MS, CCC-SLPNPI 1982896379
Title
Speech Language Pathologist -Owner
Phone
(918) 640-6468

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 Pathologist 235Z00000X 3168 OK Primary

Addresses

Primary practice location

510 S Elliott St
Pryor, OK 74361-6411

Mailing address

510 S Elliott St
Pryor, OK 74361-6411
Phone (918) 825-4837

National Provider Directory

National Provider Directory

Locations

510 S Elliott St
Ste C
Pryor, OK 74361
Phone (918) 825-4837

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1172966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196985600000",
    "number": "1033248356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 S ELLIOTT ST",
            "city": "PRYOR",
            "state": "OK",
            "postal_code": "743616411",
            "telephone_number": "918-825-4837",
            "fax_number": "918-825-4644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 S ELLIOTT ST",
            "city": "PRYOR",
            "state": "OK",
            "postal_code": "743616411",
            "telephone_number": "918-825-4837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYES COUNTY SPEECH THERAPY SERVICES P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-04",
        "last_updated": "2007-12-07",
        "status": "A",
        "authorized_official_last_name": "VAN HORN",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "MICHELL",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST -OWNER",
        "authorized_official_telephone_number": "918-640-6468",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OK",
            "license": "3168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pryor, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2007; 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.