Organization Active NPI

Aspen Speech Therapy and Rehabilitation LLC

  • Speech-Language Pathologist
  • Loveland, CO
National Provider Identifier
1093349565
Registry record updated Feb 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
ASPEN SPEECH THERAPY AND REHABILITATION LLC
Practice address
2114 N Lincoln Ave Ste 102
Loveland, CO 80538-3858
Phone
(970) 682-3743
NPI assigned
Feb 24, 2020
Organization subpart
Yes
Parent organization
ASPEN SPEECH THERAPY AND REHABILITATION LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 24, 2020

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

Authorized official

Name
Kristi Leigh Kelly
Title
Owner
Phone
(970) 682-3743

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

2114 N Lincoln Ave Ste 102
Loveland, CO 80538-3858

Mailing address

1136 E Stuart St Ste 3120
Fort Collins, CO 80525-1196

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120606000304 CO Part B Supplier - Clinic/Group Practice 2163686023 Receives reassigned benefits from 1 practitioner
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Loveland, CO; Fort Collins, CO; Greeley, CO

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Aspen Speech Thpy and Rehab

Locations

2114 N Lincoln Ave
Ste 102
Loveland, CO 80538
Phone (970) 294-5765

2500 Rocky Mountain Ave
Ste 260
Loveland, CO 80538
Phone (970) 682-3743

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1582502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582502400000",
    "number": "1093349565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1136 E STUART ST STE 3120",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805251196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2114 N LINCOLN AVE STE 102",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805383858",
            "telephone_number": "970-682-3743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPEN SPEECH THERAPY AND REHABILITATION LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ASPEN SPEECH THERAPY AND REHABILITATION LLC",
        "enumeration_date": "2020-02-24",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-682-3743"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loveland, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.