Organization Active NPI

Speech & Language Rehab Services LLC

  • Clinic/Center
  • Montgomery Village, MD
National Provider Identifier
1093459554
Registry record updated Oct 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
SPEECH & LANGUAGE REHAB SERVICES LLC
Practice address
10025 Dellcastle Rd
Montgomery Village, MD 20886-1318
Phone
(347) 724-3821
NPI assigned
Apr 21, 2022
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Lana Alexander
Title
Owner
Phone
(347) 724-3821

National Provider Directory

National Provider Directory

Specialties & licenses 2

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

Addresses

NPPES NPI Registry

Primary practice location

10025 Dellcastle Rd
Montgomery Village, MD 20886-1318

Mailing address

10025 Dellcastle Rd
Montgomery Village, MD 20886-1318

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 6, 2023.

{
    "created_epoch": "1650499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696550400000",
    "number": "1093459554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10025 DELLCASTLE RD",
            "city": "MONTGOMERY VILLAGE",
            "state": "MD",
            "postal_code": "208861318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10025 DELLCASTLE RD",
            "city": "MONTGOMERY VILLAGE",
            "state": "MD",
            "postal_code": "208861318",
            "telephone_number": "347-724-3821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECH & LANGUAGE REHAB SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-21",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "LANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-724-3821"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery Village, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.