NPIMap

Organization Active NPI

Allegiant Therapy LLC.

  • Speech-Language Pathologist
  • Phoenix, AZ
National Provider Identifier
1124738109
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
ALLEGIANT THERAPY LLC.
Practice address
3406 W Maldonado Rd
Phoenix, AZ 85041-6318
Phone
(480) 913-0053
NPI assigned
Nov 30, 2022
Last updated
Feb 7, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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

Authorized official

Name
Justin SeguraNPI 1609390236
Title
Owner
Phone
(480) 913-0053

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 Pathologist 235Z00000X NU Primary
Driving and Community Mobility Occupational Therapy Assistant 224ZR0403X NU

Addresses

Primary practice location

3406 W Maldonado Rd
Phoenix, AZ 85041-6318

Mailing address

3406 W Maldonado Rd
Phoenix, AZ 85041-6318
Phone (480) 913-0053

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1669766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707264000000",
    "number": "1124738109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3406 W MALDONADO RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850416318",
            "telephone_number": "480-913-0053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3406 W MALDONADO RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850416318",
            "telephone_number": "480-913-0053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEGIANT THERAPY LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-30",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A",
        "authorized_official_last_name": "SEGURA",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-913-0053"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "224ZR0403X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant, Driving and Community Mobility",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; 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.