NPIMap

Organization Active NPI

Small Talk Pediatric Therapy Inc.

  • Early Intervention Provider Agency
  • Greenwood, IN
National Provider Identifier
1093028797
Registry record updated Jul 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
22003729A Issued in IN
Legal business name
SMALL TALK PEDIATRIC THERAPY INC.
Practice address
2091 Liberty Way Dr
Greenwood, IN 46143-7282
Phone
(317) 696-4160
Fax
(317) 885-8128
NPI assigned
Jul 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2010

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

Authorized official

Name
Jennifer Lyn Fish, M.A., CCC-SLP
Title
Owner
Phone
(317) 696-4160

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 22003729A IN Primary

Addresses

Primary practice location

2091 Liberty Way Dr
Greenwood, IN 46143-7282

Mailing address

2091 Liberty Way Dr
Greenwood, IN 46143-7282
Phone (317) 696-4160

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1279756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279756800000",
    "number": "1093028797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2091 LIBERTY WAY DR",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461437282",
            "telephone_number": "317-696-4160",
            "fax_number": "317-885-8128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2091 LIBERTY WAY DR",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461437282",
            "telephone_number": "317-696-4160",
            "fax_number": "317-885-8128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMALL TALK PEDIATRIC THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-22",
        "last_updated": "2010-07-22",
        "status": "A",
        "authorized_official_last_name": "FISH",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-696-4160",
        "authorized_official_credential": "M.A., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "IN",
            "license": "22003729A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2010; 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.