Ignite Pediatric Therapy, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

IGNITE PEDIATRIC THERAPY, LLC

Practice address

195 Spinnaker Dr
Columbiana, OH 44408-9666

Phone

(814) 873-4763

NPI assigned

Jan 5, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Maura Ambrose, CCC-SLPNPI 1295383461

Title

Ceo/Owner

Phone

(814) 873-4763

Specialties & licenses 1

Addresses

Other names 1

• Ignite Pediatric Therapy Doing business as

Practitioners 1

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

• Maura Ambrose

  • Speech-Language Pathologist
  • Pittsburgh, PA
  • NPI 1295383461
  NPD Authorized official

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

{
    "created_epoch": "1641340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641340800000",
    "number": "1083375604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 SPINNAKER DR",
            "city": "COLUMBIANA",
            "state": "OH",
            "postal_code": "444089666",
            "telephone_number": "814-873-4763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 SPINNAKER DR",
            "city": "COLUMBIANA",
            "state": "OH",
            "postal_code": "444089666",
            "telephone_number": "814-873-4763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IGNITE PEDIATRIC THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-05",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A",
        "authorized_official_last_name": "AMBROSE",
        "authorized_official_first_name": "MAURA",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "814-873-4763",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "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": "Ignite Pediatric Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lita Himes
• Harleigh Hollern, PA-C
• Homer L Skinner & Marc S Ucchino PTRS
• Michael L Hopfenziz, PHYSICAL THERAPIST
• Rachel Hostetler
• In Christ Hands LLC
• Jessica Irwin
• Jeffrey M. Palusak DDS, Inc
• Bonnie J Joseph
• Rasheeda Kalam, LISW

• Speech-Language Pathologist in Columbiana, OH
• Providers in Columbiana, OH by specialty
• Speech-Language Pathologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; 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.