Kids Express Therapy Services, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

KIDS EXPRESS THERAPY SERVICES, LLC

Practice address

110 W Market St
Smithville, TN 37166-1726

Phone

(615) 697-3442

NPI assigned

Dec 20, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Alyssa Cannon Conger, M.S. CCC-SLPNPI 1841624053

Title

Owner/Speech-Language Pathologist

Phone

(615) 812-3701

Specialties & licenses 6

Addresses

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alyssa Conger, SLP-CCC

  • Speech-Language Pathologist
  • Smithville, TN
  • NPI 1841624053
  NPD Authorized official
• Lindsey Eldridge, MS, CCC-SLP

  • Speech-Language Pathologist
  • Smithville, TN
  • NPI 1922741578
  NPD
• Sara Heady, COTA/L

  • Occupational Therapy Assistant
  • Smithville, TN
  • NPI 1326610197
  NPD
• Mackenzie Kay Rehnberg

  • Speech-Language Pathologist
  • Smithville, TN
  • NPI 1811633050
  NPD
• Allie Gipson, OTR/L

  • Occupational Therapist
  • Smithville, TN
  • NPI 1417729203
  NPD (past)
• Aliyah Hayes, COTA/L

  • Occupational Therapy Assistant
  • Smithville, TN
  • NPI 1841983053
  NPD (past)

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

{
    "created_epoch": "1608422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615248000000",
    "number": "1053907485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1027 HOLIDAY HAVEN RD",
            "city": "SMITHVILLE",
            "state": "TN",
            "postal_code": "371667506",
            "telephone_number": "615-697-3442",
            "fax_number": "615-930-0036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W MARKET ST",
            "city": "SMITHVILLE",
            "state": "TN",
            "postal_code": "371661726",
            "telephone_number": "615-697-3442"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1027 Holiday Haven Rd",
            "address_purpose": "LOCATION",
            "city": "Smithville",
            "state": "TN",
            "postal_code": "371667506",
            "country_code": "US",
            "telephone_number": "615-697-3442",
            "fax_number": "615-930-0036",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KIDS EXPRESS THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-20",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A",
        "authorized_official_last_name": "CONGER",
        "authorized_official_first_name": "ALYSSA",
        "authorized_official_middle_name": "CANNON",
        "authorized_official_title_or_position": "OWNER/SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "615-812-3701",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronda Johnson, LPN
• Andrew Aaron Jones, CRNA
• Ernest J Jones, MD
• Andria Michelle Keith, APN
• Camry Lou Kerley
• Addison Paige Knox, OTR/L
• Larry David Lauke, RPH
• Donna Irene Lawson, PTA
• Lebanon Eye Associates
• Betty W Lewis, COTAL

• All providers in Smithville, TN
• Speech-Language Pathologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.