Organization Active NPI

Fremont Speech Therapy LLC

  • Speech-Language Pathologist
  • Seattle, WA
National Provider Identifier
1144030495
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
FREMONT SPEECH THERAPY LLC
Practice address
619 N 35TH St Ste 205
Seattle, WA 98103-8640
Phone
(206) 778-8233
Fax
(206) 267-0423
NPI assigned
Jan 9, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Authorized official

Name
Emily Mazza
Title
Office Manager
Phone
(206) 778-8233

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

619 N 35TH St Ste 205
Seattle, WA 98103-8640

Mailing address

9712 Dayton Ave N
Seattle, WA 98103-3128
Phone (206) 778-8233

Other names 1

  • Fremont Speech Therapy LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

619 N 35th St
Ste 205
Seattle, WA 98103
Phone (206) 778-8233

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1736380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736380800000",
    "number": "1144030495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9712 DAYTON AVE N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981033128",
            "telephone_number": "206-778-8233",
            "fax_number": "206-267-0423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 N 35TH ST STE 205",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981038640",
            "telephone_number": "206-778-8233",
            "fax_number": "206-267-0423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREMONT SPEECH THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-09",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A",
        "authorized_official_last_name": "MAZZA",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "206-778-8233"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fremont Speech Therapy LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.