Organization Active NPI

Tiny Trails Pediatric Therapy, LLC

  • Speech-Language Pathologist
  • Colorado Springs, CO
National Provider Identifier
1184579229
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
TINY TRAILS PEDIATRIC THERAPY, LLC
Practice address
12822 Pensador Dr
Colorado Springs, CO 80921-2049
Phone
(719) 203-7141
Fax
(719) 960-2630
NPI assigned
Mar 3, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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

Authorized official

Name
Jennifer Stone, MS/CCC-SLPNPI 1154861250
Title
Business Owner/Ceo
Phone
(719) 203-7141

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

12822 Pensador Dr
Colorado Springs, CO 80921-2049

Mailing address

12822 Pensador Dr
Colorado Springs, CO 80921-2049

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1772496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772496000000",
    "number": "1184579229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12822 PENSADOR DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809212049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12822 PENSADOR DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809212049",
            "telephone_number": "719-203-7141",
            "fax_number": "719-960-2630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TINY TRAILS PEDIATRIC THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-03",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A",
        "authorized_official_last_name": "STONE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "BUSINESS OWNER/CEO",
        "authorized_official_telephone_number": "719-203-7141",
        "authorized_official_credential": "MS/CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; 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.