Organization Active NPI

Innovative Speech Therapy Institute, P.L.L.C.

  • Speech-Language Pathologist
  • Bedford, NH
National Provider Identifier
1215290549
Registry record updated Jun 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
0980 Issued in NH
Legal business name
INNOVATIVE SPEECH THERAPY INSTITUTE, P.L.L.C.
Practice address
108 Riverway PL BLDG 1
Bedford, NH 03110-6730
Phone
(603) 318-6552
NPI assigned
Jun 21, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2012

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

Authorized official

Name
Mrs. Alma Luz Velasquez-Ermatinger, MS-CCC-SLP
Title
Manager-Speech Language Pathologist
Phone
(603) 318-6552

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 0980 NH Primary

Addresses

Primary practice location

108 Riverway PL BLDG 1
Bedford, NH 03110-6730

Mailing address

108 Riverway PL BLDG 1
Bedford, NH 03110-6730
Phone (603) 318-6552

National Provider Directory

National Provider Directory

Locations

108 Riverway Pl
Bldg 1
Bedford, NH 03110
Phone (603) 318-6552

108 Riverway Pl
#1
Bedford, NH 03110
Phone (603) 318-6552

NPI Registry JSON

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

{
    "created_epoch": "1340236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340236800000",
    "number": "1215290549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 RIVERWAY PL BLDG 1",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106730",
            "telephone_number": "603-318-6552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 RIVERWAY PL BLDG 1",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106730",
            "telephone_number": "603-318-6552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE SPEECH THERAPY INSTITUTE, P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-21",
        "last_updated": "2012-06-21",
        "status": "A",
        "authorized_official_last_name": "VELASQUEZ-ERMATINGER",
        "authorized_official_first_name": "ALMA",
        "authorized_official_middle_name": "LUZ",
        "authorized_official_title_or_position": "MANAGER-SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "603-318-6552",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS-CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NH",
            "license": "0980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2012; 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.