Organization Active NPI

Vidya Therapy Services

  • Speech-Language Pathologist
  • Tucson, AZ
National Provider Identifier
1184026387
Registry record updated Sep 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP4881 Issued in AZ
Legal business name
VIDYA THERAPY SERVICES
Practice address
310 S Meyer Ave
Tucson, AZ 85701-2207
Phone
(520) 818-4104
NPI assigned
Sep 18, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2014

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

Authorized official

Name
Ms. Krista Leeann Tolo, SLP
Title
Speech Language Pathologist
Phone
(520) 818-4104

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X SLP4881 AZ Primary

Addresses

Primary practice location

310 S Meyer Ave
Tucson, AZ 85701-2207

Mailing address

310 S Meyer Ave
Tucson, AZ 85701-2207
Phone (520) 818-4104

Other identifiers 1

IdentifierTypeStateIssuer
745901MedicaidAZ

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1410998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410998400000",
    "number": "1184026387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 S MEYER AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857012207",
            "telephone_number": "520-818-4104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 S MEYER AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857012207",
            "telephone_number": "520-818-4104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIDYA THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-18",
        "last_updated": "2014-09-18",
        "status": "A",
        "authorized_official_last_name": "TOLO",
        "authorized_official_first_name": "KRISTA",
        "authorized_official_middle_name": "LEEANN",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "520-818-4104",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP4881",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "745901",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2014; 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.