Organization Active NPI

Sky Therapy Group PLLC

  • Hearing and Speech Clinic/Center
  • Tucson, AZ
National Provider Identifier
1093570442
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
Legal business name
SKY THERAPY GROUP PLLC
Practice address
11040 E Cactus Spine Rd
Tucson, AZ 85748-3557
Phone
(520) 304-5938
NPI assigned
Feb 15, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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

Authorized official

Name
Jatzen Sayleen Hurtado Short, M.S. CCC-SLPNPI 1154616225
Title
Speech Language Pathologist/Owner
Phone
(520) 304-5938

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X Primary

Addresses

Primary practice location

11040 E Cactus Spine Rd
Tucson, AZ 85748-3557

Mailing address

PO Box 18274
Tucson, AZ 85731-8274

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250602002812 AZ Part B Supplier - Clinic/Group Practice 1254840200 Receives reassigned benefits from 2 practitioners
Practice locations: Tucson, AZ

National Provider Directory

National Provider Directory

Locations

7650 E Broadway Blvd
Ste 105
Tucson, AZ 85710
Phone (520) 731-1117

Practitioners & affiliated clinicians

Practitioners 4

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": "1707955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707955200000",
    "number": "1093570442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18274",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857318274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11040 E CACTUS SPINE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857483557",
            "telephone_number": "520-304-5938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKY THERAPY GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-15",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A",
        "authorized_official_last_name": "HURTADO SHORT",
        "authorized_official_first_name": "JATZEN",
        "authorized_official_middle_name": "SAYLEEN",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST/OWNER",
        "authorized_official_telephone_number": "520-304-5938",
        "authorized_official_credential": "M.S. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; 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.