Organization Active NPI

Fast Track Speech Therapy PLLC

  • Speech-Language Pathologist
  • Collierville, TN
National Provider Identifier
1164947693
Registry record updated Aug 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
5422 Issued in TN
Legal business name
FAST TRACK SPEECH THERAPY PLLC
Practice address
2028 W Poplar Ave Ste 112
Collierville, TN 38017-0618
Phone
(901) 286-3903
NPI assigned
Aug 5, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2017

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

Authorized official

Name
Kathryn Alexis Struminger, CCC-SLP
Title
Speech Language Pathologist
Phone
(901) 286-3903

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 5422 TN Primary

Addresses

Primary practice location

2028 W Poplar Ave Ste 112
Collierville, TN 38017-0618

Mailing address

1520 Wyndham CV
Memphis, TN 38120-1426
Phone (901) 490-1509

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1501891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501891200000",
    "number": "1164947693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 WYNDHAM CV",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381201426",
            "telephone_number": "901-490-1509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2028 W POPLAR AVE STE 112",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380170618",
            "telephone_number": "901-286-3903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAST TRACK SPEECH THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-05",
        "last_updated": "2017-08-05",
        "status": "A",
        "authorized_official_last_name": "STRUMINGER",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "ALEXIS",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "901-286-3903",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "5422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Collierville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2017; 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.