La Speech Therapy PC

Primary specialty

Rehabilitation Hospital UnitTaxonomy code 273Y00000X

License

2010-16555 Issued in TN

Legal business name

LA SPEECH THERAPY PC

Practice address

126 East Main Street
Suite C
Union City, TN 38261-3926

Phone

(731) 599-9896

Fax

(731) 599-9922

NPI assigned

Mar 24, 2011

Last updated

Jun 24, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Leighanne P Paige, M.S. CCC-SLPNPI 1265697866

Title

Owner

Phone

(731) 599-9896

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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.

• Leighanne Petrencsik Paige, SLP

  • Speech-Language Pathologist
  • Union City, TN
  • NPI 1265697866
  Authorized official Same address or phone
• Rainelda Lariosa, PT

  • Physical Therapist
  • Union City, TN
  • NPI 1801297908
  NPD (past)

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

{
    "created_epoch": "1300924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403568000000",
    "number": "1194024588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 E MAIN ST",
            "address_2": "SUITE C",
            "city": "UNION CITY",
            "state": "TN",
            "postal_code": "382613349",
            "telephone_number": "731-599-9896",
            "fax_number": "731-599-9922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 EAST MAIN STREET",
            "address_2": "SUITE C",
            "city": "UNION CITY",
            "state": "TN",
            "postal_code": "382613926",
            "telephone_number": "731-599-9896",
            "fax_number": "731-599-9922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA SPEECH THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-24",
        "last_updated": "2014-06-24",
        "status": "A",
        "authorized_official_last_name": "PAIGE",
        "authorized_official_first_name": "LEIGHANNE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "731-599-9896",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "TN",
            "license": "2010-16555",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1523565",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kizer Pharmacy LLC (Kizer Pharmacy Long-Term Care)
• Jason Smith Kizer, PHARM. D
• Tracey Kizer, NP
• Kofi Nuako, MD, PC (Advanced Gastro)
• Rita Carol Koon, FNP BC
• Madison Sturgeon Lamar, NP-C
• Elliott Landfield, MD
• Christopher Allen Lane, LPN
• Rainelda Lariosa, PT
• Virginia Renee Lattus, PT

• Rehabilitation Hospital Unit in Union City, TN
• Providers in Union City, TN by specialty
• Rehabilitation Hospital Unit in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.