Organization Active NPI

Engram Therapy Service, Inc.

  • Speech-Language Pathologist
  • Lexington, KY
National Provider Identifier
1144670464
Registry record updated Jun 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
140741 Issued in KY
Legal business name
ENGRAM THERAPY SERVICE, INC.
Practice address
3485 Elmendorf Way
Lexington, KY 40517-2767
Phone
(859) 539-4551
NPI assigned
Jun 17, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2016

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

Authorized official

Name
Terri Lynn Engram, M.A., CCC-SLP
Title
Speech Language Pathologist
Phone
(859) 539-4551

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 140741 KY Primary

Addresses

Primary practice location

3485 Elmendorf Way
Lexington, KY 40517-2767

Mailing address

3485 Elmendorf Way
Lexington, KY 40517-2767
Phone (859) 539-4551

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.

NPI Registry JSON

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

{
    "created_epoch": "1466121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466121600000",
    "number": "1144670464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3485 ELMENDORF WAY",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405172767",
            "telephone_number": "859-539-4551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3485 ELMENDORF WAY",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405172767",
            "telephone_number": "859-539-4551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENGRAM THERAPY SERVICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-17",
        "last_updated": "2016-06-17",
        "status": "A",
        "authorized_official_last_name": "ENGRAM",
        "authorized_official_first_name": "TERRI",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "859-539-4551",
        "authorized_official_credential": "M.A., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "140741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2016; 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.