Wellesley Pediatric Speech Therapy LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

7659 Issued in MA

Legal business name

WELLESLEY PEDIATRIC SPEECH THERAPY LLC

Practice address

27 Mica Lane
Suite 302
Wellesley, MA 02481

Phone

(781) 489-3697

NPI assigned

Aug 12, 2010

Last updated

Oct 14, 2026By 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

Ivy Schantz

Title

Owner

Phone

(781) 489-3697

Specialties & licenses 1

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.

• Lucy Trice Tillou, M.ED., CCC-SLP

  • Speech-Language Pathologist
  • Wellesley, MA
  • NPI 1972841120
  NPD (past)

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

{
    "created_epoch": "1281571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791936000000",
    "number": "1215242391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 MICA LANE",
            "address_2": "SUITE 302",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "02481",
            "telephone_number": "781-489-3697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 MICA LANE",
            "address_2": "SUITE 302",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "02481",
            "telephone_number": "781-489-3697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLESLEY PEDIATRIC SPEECH THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-12",
        "last_updated": "2026-10-14",
        "status": "A",
        "authorized_official_last_name": "SCHANTZ",
        "authorized_official_first_name": "IVY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-489-3697"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "7659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wellesley Medical Associates
• Wellesley Medical Partners PLLC
• Wellesley Neuropsychology and Assessment PLLC
• Wellesley Oral Surgery and Implant Center, PLLC
• Wellesley Pediatric Occupational Therapy
• Wellesley Primary Care Medicine, PC
• Wellesley Smiles Dental Professionals P.C
• Wellesley Wellness, LLC
• Wellesley Wound Care LLC
• Wellness Care Associates PLLC

• Speech-Language Pathologist in Wellesley, MA
• Providers in Wellesley, MA by specialty
• Speech-Language Pathologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.