Individual provider Active NPI

Danielle Lacanaria

  • Speech-Language Pathologist
  • Troy, MI
National Provider Identifier
1053905513
Registry record updated Feb 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
7151013458 Issued in MI
Practice address
675 E Big Beaver Rd Ste 201
Troy, MI 48083-1428
Phone
(248) 893-6192
NPI assigned
Feb 25, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 7151013458 MI Primary

Addresses

Primary practice location

675 E Big Beaver Rd Ste 201
Troy, MI 48083-1428

Mailing address

30903 W 10 Mile Rd Ste B
Farmington Hills, MI 48336-2615
Phone (248) 893-6192

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL info@therapyspotmi.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
7151013458MIMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Peds Speech LLC Speech-Language Pathologist CurrentSince Mar 4, 2021 Accepting new patients
Therapeutic Advantage LLC CurrentSince Mar 4, 2021 Accepting new patients

Locations

30903 W 10 Mile Rd
Ste B
Farmington Hills, MI 48336
Phone (248) 893-6192

675 E Big Beaver Rd
Ste 201
Troy, MI 48083
Phone (248) 457-8888

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1614211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614211200000",
    "number": "1053905513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30903 W 10 MILE RD STE B",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483362615",
            "telephone_number": "248-893-6192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 E BIG BEAVER RD STE 201",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831428",
            "telephone_number": "248-893-6192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACANARIA",
        "first_name": "DANIELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-25",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7151013458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "info@therapyspotmi.com",
            "affiliation": "N",
            "address_1": "675 E Big Beaver Rd Ste 201",
            "city": "Troy",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480831428",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2021; 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.