Organization Active NPI

Short Speech & Swallowing Therapy LLC

  • Speech-Language Pathologist
  • Lexington, KY
National Provider Identifier
1104637198
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
SHORT SPEECH & SWALLOWING THERAPY LLC
Practice address
3116 Meadowland CT
Lexington, KY 40509-2943
Phone
(606) 634-0090
NPI assigned
Jan 17, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2025

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

Authorized official

Name
Sydney ShortNPI 1285290080
Title
Owner
Phone
(606) 634-0090

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
Early Intervention Provider Agency 252Y00000X

Addresses

Primary practice location

3116 Meadowland CT
Lexington, KY 40509-2943

Mailing address

3116 Meadowland CT
Lexington, KY 40509-2943
Phone (606) 634-0090

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250515003313 KY Part B Supplier - Clinic/Group Practice 8921526674 Receives reassigned benefits from 1 practitioner
Practice locations: Lexington, KY

National Provider Directory

National Provider Directory

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": "1737072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747267200000",
    "number": "1104637198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3116 MEADOWLAND CT",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405092943",
            "telephone_number": "606-634-0090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3116 MEADOWLAND CT",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405092943",
            "telephone_number": "606-634-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORT SPEECH & SWALLOWING THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-17",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A",
        "authorized_official_last_name": "SHORT",
        "authorized_official_first_name": "SYDNEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-634-0090"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2025; 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.