NPIMap

Organization Active NPI

Therapeuticoncepts

  • Speech-Language Pathologist
  • Jefferson City, TN
National Provider Identifier
1114109022
Registry record updated Dec 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
3465 Issued in TN
Legal business name
THERAPEUTICONCEPTS
Practice address
1515 Meadow Spring Dr
Jefferson City, TN 37760-2047
Phone
(865) 475-1858
Fax
(865) 472-1859
NPI assigned
Dec 3, 2007
Last updated
Dec 3, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2007

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

Authorized official

Name
Katy Acuff Wells, SLPNPI 1033397831
Title
Speech Pathologist
Phone
(865) 475-1858

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 3465 TN Primary

Addresses

Primary practice location

1515 Meadow Spring Dr
Jefferson City, TN 37760-2047

Mailing address

1515 Meadow Spring Dr
Jefferson City, TN 37760-2047
Phone (865) 475-1858

National Provider Directory

National Provider Directory
Tax ID family
Therapeuticoncepts2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the 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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1196640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196640000000",
    "number": "1114109022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 MEADOW SPRING DR",
            "city": "JEFFERSON CITY",
            "state": "TN",
            "postal_code": "377602047",
            "telephone_number": "865-475-1858",
            "fax_number": "865-472-1859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 MEADOW SPRING DR",
            "city": "JEFFERSON CITY",
            "state": "TN",
            "postal_code": "377602047",
            "telephone_number": "865-475-1858",
            "fax_number": "865-472-1859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPEUTICONCEPTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-03",
        "last_updated": "2007-12-03",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "KATY",
        "authorized_official_middle_name": "ACUFF",
        "authorized_official_title_or_position": "SPEECH PATHOLOGIST",
        "authorized_official_telephone_number": "865-475-1858",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "3465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson City, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2007; 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.