Virginia Middendorff D/B/a Therapy-Learning Clinic

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146.004800 Issued in IL

Legal business name

VIRGINIA MIDDENDORFF D/B/A THERAPY-LEARNING CLINIC

Practice address

1090 Jefferson St
Carlyle, IL 62231-1426

Phone

(618) 594-5561

Fax

(618) 594-5561

NPI assigned

Aug 22, 2013

Last updated

Aug 22, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Virginia Middendorff, M.S.,CCC-SLPNPI 1912056375

Title

Owner

Phone

(618) 594-5561

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Virginia Middendorff, M.S.,CCC-SLP

  • Speech-Language Pathologist
  • Carlyle, IL
  • NPI 1912056375
  NPD (past) Authorized official

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

{
    "created_epoch": "1377129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377129600000",
    "number": "1093149387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1090 JEFFERSON ST",
            "city": "CARLYLE",
            "state": "IL",
            "postal_code": "622311426",
            "telephone_number": "618-594-5561",
            "fax_number": "618-594-5561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 JEFFERSON ST",
            "city": "CARLYLE",
            "state": "IL",
            "postal_code": "622311426",
            "telephone_number": "618-594-5561",
            "fax_number": "618-594-5561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA MIDDENDORFF D/B/A THERAPY-LEARNING CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-22",
        "last_updated": "2013-08-22",
        "status": "A",
        "authorized_official_last_name": "MIDDENDORFF",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-594-5561",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S.,CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.004800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1912056375",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Windy Lee Stone, CCC-SLP
• The Residential Developers, Inc.
• TJD Enterprises, LLC (Med Plus Pharmacy of Carlyle)
• Travis Edward Tweedy
• Rebecca A Varel, RPH
• Vna Homecare, Inc. (VNA-TIP HomeCare)
• Walmart Inc.
• Brian Scott Walsh, D.C.
• Patrick Wessol, DMD
• Sidney Darryl Wessol, DDS

• Speech-Language Pathologist in Carlyle, IL
• Providers in Carlyle, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2013; 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.