NPIMap

Organization Active NPI

Therapy Time Pediatrics St LLC

Doing business as Achieve Pediatric Speech Therapy

  • Speech-Language Pathologist
  • Bixby, OK
National Provider Identifier
1194349647
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
THERAPY TIME PEDIATRICS ST LLC
Doing business as
Achieve Pediatric Speech Therapy
Practice address
16 S a Ave Unit 684
Bixby, OK 74008-4570
Phone
(918) 798-2116
Fax
(918) 513-6777
NPI assigned
Jun 1, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Authorized official

Name
Cathy Ross, MC CCC-SLPNPI 1639496854
Title
Owner
Phone
(918) 798-2116

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251P0200X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

16 S a Ave Unit 684
Bixby, OK 74008-4570

Mailing address

16 S a Ave Unit 684
Bixby, OK 74008-4570
Phone (918) 798-2116

Other identifiers 1

IdentifierTypeStateIssuer
200911010AMedicaidOK

Other names 1

  • Achieve Pediatric Speech Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

16 S A Ave
Unit 684
Bixby, OK 74008
Phone (918) 798-2116

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": "1590969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740960000000",
    "number": "1194349647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 S A AVE UNIT 684",
            "city": "BIXBY",
            "state": "OK",
            "postal_code": "740084570",
            "telephone_number": "918-798-2116",
            "fax_number": "918-513-6777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 S A AVE UNIT 684",
            "city": "BIXBY",
            "state": "OK",
            "postal_code": "740084570",
            "telephone_number": "918-798-2116",
            "fax_number": "918-513-6777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPY TIME PEDIATRICS ST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-01",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "CATHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-798-2116",
        "authorized_official_credential": "MC CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200911010A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Achieve Pediatric Speech Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Achieve Pediatric Speech Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bixby, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; 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.