Organization Active NPI

Neuro Speech Therapy

  • Speech-Language Pathologist
  • Bend, OR
National Provider Identifier
1093400731
Registry record updated May 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
NEURO SPEECH THERAPY
Practice address
1372 NE Whisper Ridge Dr Apt 3
Bend, OR 97701-6416
Phone
(541) 204-1757
NPI assigned
Apr 10, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2023

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

Authorized official

Name
Allison Kimberly Phillips, CCC-SLPNPI 1467958173
Title
Owner/SLP
Phone
(541) 204-1757

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary
Clinic/Center 261Q00000X

Addresses

Primary practice location

1372 NE Whisper Ridge Dr Apt 3
Bend, OR 97701-6416

Mailing address

1372 NE Whisper Ridge Dr Apt 3
Bend, OR 97701-6416
Phone (541) 204-1757

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1681084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684195200000",
    "number": "1093400731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1372 NE WHISPER RIDGE DR APT 3",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977016416",
            "telephone_number": "541-204-1757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1372 NE WHISPER RIDGE DR APT 3",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977016416",
            "telephone_number": "541-204-1757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEURO SPEECH THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-10",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_middle_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER/SLP",
        "authorized_official_telephone_number": "541-204-1757",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; 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.