Active NPI
Huron Speech & Sensory Clinic PLLC
- Speech-Language Pathologist
- Bad Axe, MI
National Provider Identifier
1124578737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- HURON SPEECH & SENSORY CLINIC PLLC
- Practice address
- 128 W Huron Ave Ste H
Bad Axe, MI 48413-1177 - Phone
- (989) 269-7666
- Fax
- (989) 269-8234
- NPI assigned
- Oct 6, 2016
- Last updated
- Dec 14, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jessica Ruth
- Title
- Office Manager
- Phone
- (989) 269-7666
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 7101000089 | MI | |
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
128 W Huron Ave Ste H
Bad Axe, MI 48413-1177
Mailing address
128 W Huron Ave Ste H
Bad Axe, MI 48413-1177
Phone (989) 269-7666
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
128 W Huron Ave
Ste H
Bad Axe, MI 48413
Phone (989) 269-6666
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Speech-Language Pathologist
- Bad Axe, MI
- NPI 1851541379
-
- Speech-Language Pathologist
- Bad Axe, MI
- NPI 1457744138
-
- Occupational Therapist
- Bad Axe, MI
- NPI 1881011971
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475712000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1670976000000",
"number": "1124578737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "128 W HURON AVE STE H",
"city": "BAD AXE",
"state": "MI",
"postal_code": "484131177",
"telephone_number": "989-269-7666",
"fax_number": "989-269-8234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "128 W HURON AVE STE H",
"city": "BAD AXE",
"state": "MI",
"postal_code": "484131177",
"telephone_number": "989-269-7666",
"fax_number": "989-269-8234"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HURON SPEECH & SENSORY CLINIC PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-10-06",
"last_updated": "2022-12-14",
"certification_date": "2022-12-14",
"status": "A",
"authorized_official_last_name": "RUTH",
"authorized_official_first_name": "JESSICA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "989-269-7666"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "MI",
"license": "7101000089",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bad Axe, MI
- Huron Memorial Hospital (McLaren Thumb Region)
- Huron Memorial Hospital (McLaren Thumb Region)
- Huron Memorial Hospital
- Huron Memorial Hospital Employed Physicians (Huron Medical Center Employed Physicians)
- Huron Pathology Services PC
- Michelle M Hyzer, MSW, LMSW
- Tracy Inbody
- Heather Innes
- Insight Healthcare, PLLC
- Integrated Wellness Therapies LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2022; 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.