Swim Learn Play

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

SWIM LEARN PLAY

Practice address

6201 Joliet Rd
Countryside, IL 60525-3958

Phone

(312) 725-9050

NPI assigned

Sep 22, 2023

Organization subpart

No

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

Authorized official

Name

Breanna Capel, M.S.,CCC-SLP/LNPI 1437827789

Title

Co-Owner

Phone

(828) 712-2012

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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

• Breanna Capel

  • Speech-Language Pathologist
  • Midlothian, IL
  • NPI 1437827789
  NPD Authorized official

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

{
    "created_epoch": "1695340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695340800000",
    "number": "1124807854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N MCCLURG CT APT 3214",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606114386",
            "telephone_number": "828-712-2012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 JOLIET RD",
            "city": "COUNTRYSIDE",
            "state": "IL",
            "postal_code": "605253958",
            "telephone_number": "312-725-9050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWIM LEARN PLAY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-22",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A",
        "authorized_official_last_name": "CAPEL",
        "authorized_official_first_name": "BREANNA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "828-712-2012",
        "authorized_official_credential": "M.S.,CCC-SLP/L"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IMPACT",
            "identifier": "1437827789",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IMPACT",
            "identifier": "1669140331",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kate M Speiser, LCSW
• Sports Physical Therapy & Rehab Specialists, S.C.
• Melissa Kathryn Stiff, MOT, OTR
• Alicia Swanson, MSN, APRN, PMHNP-C
• Basman Sweis, PSY. D.
• Saleeha Syed
• Carly Szafranski, OD
• Timothy J Szczepaniak
• Jocelyn Tam
• Kelli Jean Tande, BCBA

• Speech-Language Pathologist in Countryside, IL
• Providers in Countryside, 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 22, 2023; 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.