NPIMap

Organization Active NPI

Midwest Speech Therapy, PC

  • Speech-Language Pathologist
  • Bloomingdale, IL
National Provider Identifier
1154780740
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
MIDWEST SPEECH THERAPY, PC
Practice address
473 W Army Trail Road
Suite 107
Bloomingdale, IL 60108-2674
Phone
(224) 520-8562
Fax
(215) 318-1772
NPI assigned
Feb 11, 2016
Last updated
Jan 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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

Authorized official

Name
Mrs. Lacey Peters, M.A., CCC-SLP/LNPI 1588950836
Title
President
Phone
(224) 520-8562

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

473 W Army Trail Road
Suite 107
Bloomingdale, IL 60108-2674

Mailing address

473 W Army Trail Road
Suite 107
Bloomingdale, IL 60108-2674
Phone (224) 520-8562

Other names 1

  • Teaching Tots To Talk Former legal business name

National Provider Directory

National Provider Directory

Locations

975 E Nerge Rd
Ste S130
Roselle, IL 60172
Phone (630) 403-8559

975 E Nerge Rd
Ste W20
Roselle, IL 60172
Phone (224) 520-8562

Practitioners & affiliated clinicians

Practitioners 22

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.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1455148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704931200000",
    "number": "1154780740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "473 W ARMY TRAIL ROAD",
            "address_2": "SUITE 107",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601082674",
            "telephone_number": "224-520-8562",
            "fax_number": "215-318-1772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "473 W ARMY TRAIL ROAD",
            "address_2": "SUITE 107",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601082674",
            "telephone_number": "224-520-8562",
            "fax_number": "215-318-1772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST SPEECH THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-11",
        "last_updated": "2024-01-11",
        "certification_date": "2021-10-05",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "LACEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "224-520-8562",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.A., CCC-SLP/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Teaching Tots To Talk",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Bloomingdale, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.