NPIMap

Organization Active NPI

Collaboration Therapy LLC

  • Speech-Language Pathologist
  • Tiffin, OH
National Provider Identifier
1043098080
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
COLLABORATION THERAPY LLC
Practice address
300 S Washington St
Tiffin, OH 44883-3082
Phone
(567) 220-6545
NPI assigned
Sep 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Authorized official

Name
Mrs. Katlyn Martin, MS CCC-SLPNPI 1497020622
Title
Clinician
Phone
(567) 220-6545

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

300 S Washington St
Tiffin, OH 44883-3082

Mailing address

300 S Washington St
Tiffin, OH 44883-3082
Phone (567) 220-6545

Other names 1

  • Collaboration Therapy LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

300 S Washington St
Tiffin, OH 44883
Phone (567) 220-6545

Practitioners & affiliated clinicians

Practitioners 3

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": "1695168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695168000000",
    "number": "1043098080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S WASHINGTON ST",
            "city": "TIFFIN",
            "state": "OH",
            "postal_code": "448833082",
            "telephone_number": "567-220-6545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S WASHINGTON ST",
            "city": "TIFFIN",
            "state": "OH",
            "postal_code": "448833082",
            "telephone_number": "567-220-6545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLABORATION THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-20",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "KATLYN",
        "authorized_official_title_or_position": "CLINICIAN",
        "authorized_official_telephone_number": "567-220-6545",
        "authorized_official_name_prefix": "Mrs.",
        "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": [
        {
            "organization_name": "Collaboration Therapy LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Tiffin, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; 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.