Braxy Speech Therapy PLLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

BRAXY SPEECH THERAPY PLLC

Practice address

25011 Vermette Rd
Plainfield, IL 60585-7731

Phone

(815) 212-7162

NPI assigned

Sep 14, 2022

Organization subpart

No

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

Authorized official

Name

Bradi O'Rourke, CCC-SLPNPI 1356925614

Title

Speech-Language Pathologist

Phone

(815) 212-7162

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bradi O'Rourke

  • Speech-Language Pathologist
  • Plainfield, IL
  • NPI 1356925614
  NPD Authorized official

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

{
    "created_epoch": "1663113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663113600000",
    "number": "1114649399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25011 VERMETTE RD",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605857731",
            "telephone_number": "815-212-7162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25011 VERMETTE RD",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605857731",
            "telephone_number": "815-212-7162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAXY SPEECH THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-14",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A",
        "authorized_official_last_name": "O'ROURKE",
        "authorized_official_first_name": "BRADI",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "815-212-7162",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Scott Bram, MSW, LCSW
• Michael John Brammeier, D.D.S.
• Patricia A Brann, COTA/L
• Caryn Brasseur, RBT
• Casey Brauch
• Jennifer Brenner, R/T (R)
• Jennifer Kay Breuer-Harej, D.C.
• BRF Community Service Inc
• Ingrid Kristine Bridges, L.C.P.C.
• Bridgeview Clinical Services, LTD

• Speech-Language Pathologist in Plainfield, IL
• Providers in Plainfield, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; 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.