The Village Occupational & Speech Therapy, PLLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

THE VILLAGE OCCUPATIONAL & SPEECH THERAPY, PLLC

Practice address

188 Grand St
New York, NY 10013-3729

Phone

(512) 633-9191

NPI assigned

Jan 4, 2024

Last updated

Jan 4, 2024By 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

Kylie MooreNPI 1598471922

Title

SLP

Phone

(512) 633-9191

Specialties & licenses 2

Addresses

Practitioners 1

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.

• Kylie Moore

  • Speech-Language Pathologist
  • Brooklyn, NY
  • NPI 1598471922
  NPD Authorized official

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

{
    "created_epoch": "1704326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704326400000",
    "number": "1205606878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 GRAND ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100133729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 GRAND ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100133729",
            "telephone_number": "512-633-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE VILLAGE OCCUPATIONAL & SPEECH THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-04",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "KYLIE",
        "authorized_official_title_or_position": "SLP",
        "authorized_official_telephone_number": "512-633-9191"
    },
    "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": []
}

• The Trustees of Columbia University in the City of New York (Columbia Orthopedics)
• The Trustees of Columbia University in the City of New York (Department of Urology-Columbia University (CU))
• The Trustees of Columbia University in the City of New York
• The Trustees of Columbia University in the City of New York
• The Trustees of Columbia University in the City of New York (Columbia University Laboratories)
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• The WTC Mental Health Program

• Speech-Language Pathologist in New York, NY
• Providers in New York, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; 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.