Organization Active NPI

Toledo Pediatric Speech Therapy, LLC

Doing business as Toledo Pediatric Speech Therapy

  • Speech-Language Pathologist
  • Toledo, OH
National Provider Identifier
1134751605
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
TOLEDO PEDIATRIC SPEECH THERAPY, LLC
Doing business as
Toledo Pediatric Speech Therapy
Practice address
6049 Renaissance PL Ste I
Toledo, OH 43623-4730
Phone
(419) 388-3523
NPI assigned
Feb 12, 2020
Last updated
Jun 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

Authorized official

Name
Grace Kelly, M.A., CCC-SLP
Title
Speech Language Pathologist/Owner
Phone
(419) 388-3523

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X Primary

Addresses

Primary practice location

6049 Renaissance PL Ste I
Toledo, OH 43623-4730

Mailing address

6049 Renaissance PL Ste I
Toledo, OH 43623-4730
Phone (419) 388-3523

Other names 1

  • Toledo Pediatric Speech Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

6049 Renaissance Pl
Ste I
Toledo, OH 43623
Phone (419) 388-3523

Practitioners & affiliated clinicians

Practitioners 2

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": "1581465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748908800000",
    "number": "1134751605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6049 RENAISSANCE PL STE I",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234730",
            "telephone_number": "419-388-3523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6049 RENAISSANCE PL STE I",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234730",
            "telephone_number": "419-388-3523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOLEDO PEDIATRIC SPEECH THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-12",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST/OWNER",
        "authorized_official_telephone_number": "419-388-3523",
        "authorized_official_credential": "M.A., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Toledo Pediatric Speech Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Toledo Pediatric Speech Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; 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.