Organization Active NPI

Promised Land Therapy LLC

  • Speech-Language Pathologist
  • Saint Louis, MO
National Provider Identifier
1144086471
Registry record updated Feb 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
PROMISED LAND THERAPY LLC
Practice address
4283 E Ashland Ave
Saint Louis, MO 63115-3304
Phone
(314) 446-9106
NPI assigned
Feb 23, 2024
Last updated
Feb 23, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2024

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

Authorized official

Name
Monica Alice Brown, MHS, CCC-SLPNPI 1477286144
Title
Owner
Phone
(314) 446-9106

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 1

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

Addresses

Primary practice location

4283 E Ashland Ave
Saint Louis, MO 63115-3304

Mailing address

3333 Southfork Pkwy Apt 521
Manvel, TX 77578-3769
Phone (314) 446-9106

Other practice location 1

3333 Southfork Pkwy
Manvel, TX 77578-3764
Phone (314) 446-9106

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1708646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708646400000",
    "number": "1144086471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 SOUTHFORK PKWY APT 521",
            "city": "MANVEL",
            "state": "TX",
            "postal_code": "775783769",
            "telephone_number": "314-446-9106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4283 E ASHLAND AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631153304",
            "telephone_number": "314-446-9106"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3333 Southfork Pkwy",
            "address_purpose": "LOCATION",
            "city": "Manvel",
            "state": "TX",
            "postal_code": "775783764",
            "country_code": "US",
            "telephone_number": "314-446-9106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PROMISED LAND THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-23",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "MONICA",
        "authorized_official_middle_name": "ALICE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-446-9106",
        "authorized_official_credential": "MHS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.