NPIMap

Organization Active NPI

Pediatric Speech Therapy Associates

Doing business as Summit Pediatric Therapy

  • Occupational Therapist
  • Aurora, CO
National Provider Identifier
1124308713
Registry record updated Jan 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
PEDIATRIC SPEECH THERAPY ASSOCIATES
Doing business as
Summit Pediatric Therapy
Practice address
6155 S Main St Ste 200
Aurora, CO 80016-5405
Phone
(720) 542-8737
Fax
(720) 242-8085
NPI assigned
Aug 26, 2011
Last updated
Jan 12, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
PEDIATRIC SPEECH THERAPY ASSOCIATESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 12, 2022

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

Authorized official

Name
Mrs. Jessica Larkin Shepherd, M.S., CCC/SLPNPI 1548467806
Title
Speech/Language Pathologist
Phone
(720) 542-8737

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 5

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251P0200X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X Primary
Pediatric Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XP0200X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X
Early Intervention Provider Agency 252Y00000X CO

Addresses

Primary practice location

6155 S Main St Ste 200
Aurora, CO 80016-5405

Mailing address

6155 S Main St Ste 200
Aurora, CO 80016-5405
Phone (720) 542-8737

Other names 1

  • Summit Pediatric Therapy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pediatric Speech Therapy Associates7 organizations share this tax ID, including this one
Part of
Pediatric Speech Therapy Associates

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6155 S Main St
Ste 200
Aurora, CO 80016
Phone (719) 649-0101

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1314316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641945600000",
    "number": "1124308713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6155 S MAIN ST STE 200",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800165405",
            "telephone_number": "720-542-8737",
            "fax_number": "720-242-8085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6155 S MAIN ST STE 200",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800165405",
            "telephone_number": "720-542-8737",
            "fax_number": "720-242-8085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC SPEECH THERAPY ASSOCIATES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PEDIATRIC SPEECH THERAPY ASSOCIATES",
        "enumeration_date": "2011-08-26",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A",
        "authorized_official_last_name": "SHEPHERD",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "LARKIN",
        "authorized_official_title_or_position": "SPEECH/LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "720-542-8737",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S., CCC/SLP"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "CO",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summit Pediatric Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Summit Pediatric Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.