NPIMap

Organization Active NPI

Speakeasy Therapy, PLLC

  • Speech-Language Pathologist
  • Lewisville, NC
National Provider Identifier
1194034603
Registry record updated Sep 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
4582 Issued in NC
Legal business name
SPEAKEASY THERAPY, PLLC
Practice address
8800 Buckey CT
Lewisville, NC 27023-7745
Phone
(336) 946-2493
Fax
(336) 450-2637
NPI assigned
Sep 30, 2010
Last updated
Sep 30, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2010

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

Authorized official

Name
Ms. Julie Casey, M.S., CCC-SLPNPI 1659604379
Title
Speech-Language Pathologist
Phone
(336) 946-2493

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 4582 NC Primary

Addresses

Primary practice location

8800 Buckey CT
Lewisville, NC 27023-7745

Mailing address

8800 Buckey CT
Lewisville, NC 27023-7745
Phone (336) 946-2493

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 12

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": "1285804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285804800000",
    "number": "1194034603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8800 BUCKEY CT",
            "city": "LEWISVILLE",
            "state": "NC",
            "postal_code": "270237745",
            "telephone_number": "336-946-2493",
            "fax_number": "336-450-2637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8800 BUCKEY CT",
            "city": "LEWISVILLE",
            "state": "NC",
            "postal_code": "270237745",
            "telephone_number": "336-946-2493",
            "fax_number": "336-450-2637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEAKEASY THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-30",
        "last_updated": "2010-09-30",
        "status": "A",
        "authorized_official_last_name": "CASEY",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "336-946-2493",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "4582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2010; 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.