Organization Active NPI

Childrens Therapy of Kirkland

  • Speech-Language Pathologist
  • Kirkland, WA
National Provider Identifier
1174668818
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
LL0002629 Issued in WA
Legal business name
CHILDRENS THERAPY OF KIRKLAND
Practice address
9750 NE 120TH Place
Suite 6
Kirkland, WA 98034
Phone
(425) 823-7525
NPI assigned
Feb 20, 2007
Last updated
Jun 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Authorized official

Name
Maria Louise Repp, MS CCC SLP
Title
SLP Owner Director
Phone
(425) 823-7525

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X LL0002629 WA Primary

Addresses

Primary practice location

9750 NE 120TH Place
Suite 6
Kirkland, WA 98034

Mailing address

9750 NE 120TH Place
Suite 6
Kirkland, WA 98034
Phone (425) 823-7525

National Provider Directory

National Provider Directory

Locations

9750 NE 120th Pl
Ste 6
Kirkland, WA 98034
Phone (206) 755-4935

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": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1174668818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9750 NE 120TH PLACE",
            "address_2": "SUITE 6",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "98034",
            "telephone_number": "425-823-7525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9750 NE 120TH PLACE",
            "address_2": "SUITE 6",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "98034",
            "telephone_number": "425-823-7525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDRENS THERAPY OF KIRKLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "REPP",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "SLP OWNER DIRECTOR",
        "authorized_official_telephone_number": "425-823-7525",
        "authorized_official_credential": "MS CCC SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL0002629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.