NPIMap

Organization Active NPI

Pediatric Speech Therapy Associates

Doing business as Summit Pediatric Therapy

  • Speech-Language Pathologist
  • Parker, CO
National Provider Identifier
1184343345
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
PEDIATRIC SPEECH THERAPY ASSOCIATES
Doing business as
Summit Pediatric Therapy
Practice address
12760 Stroh Ranch Way Ste 205
Parker, CO 80134-7507
Phone
(720) 542-8737
Fax
(720) 242-8085
NPI assigned
Aug 23, 2022
Last updated
Aug 23, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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

Authorized official

Name
Bryan Shepherd
Title
President
Phone
(720) 542-8737

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X NU
Speech-Language Pathologist 235Z00000X NU Primary

Addresses

Primary practice location

12760 Stroh Ranch Way Ste 205
Parker, CO 80134-7507

Mailing address

6851 S Holly Cir Ste 295
Centennial, CO 80112-1019
Phone (720) 542-8737

Other names 1

  • Summit Pediatric Therapy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pediatric Speech Therapy Associates7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6851 S Holly Cir
Ste 295
Centennial, CO 80112
Phone (205) 428-7377

12760 Stroh Ranch Way
Ste 205
Parker, CO 80134
Phone (207) 542-8737

Practitioners & affiliated clinicians

Practitioners 7

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": "1661212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661212800000",
    "number": "1184343345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6851 S HOLLY CIR STE 295",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801121019",
            "telephone_number": "720-542-8737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12760 STROH RANCH WAY STE 205",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801347507",
            "telephone_number": "720-542-8737",
            "fax_number": "720-242-8085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC SPEECH THERAPY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-23",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A",
        "authorized_official_last_name": "SHEPHERD",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "720-542-8737"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summit Pediatric Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Parker, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; 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.