Active NPI
Childrens Therapy of Kirkland
- Speech-Language Pathologist
- Kirkland, WA
National Provider Identifier
1174668818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- LL0002629
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Speech-Language Pathologist
- Kirkland, WA
- NPI 1114062858
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.