Organization Active NPI

MD Therapies LLC

  • Speech-Language Pathologist
  • Prescott, AZ
National Provider Identifier
1215345343
Registry record updated Aug 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
MD THERAPIES LLC
Practice address
1801 Meadowridge Rd
Prescott, AZ 86305-5254
Phone
(928) 925-2008
Fax
(928) 776-9316
NPI assigned
Aug 1, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2014

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

Authorized official

Name
Dennis E Burks
Title
Partner
Phone
(928) 925-2008

Specialties & licenses 1

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

Addresses

Primary practice location

1801 Meadowridge Rd
Prescott, AZ 86305-5254

Mailing address

1801 Meadowridge Rd
Prescott, AZ 86305-5254
Phone (928) 925-2008

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1406851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406851200000",
    "number": "1215345343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 MEADOWRIDGE RD",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863055254",
            "telephone_number": "928-925-2008",
            "fax_number": "928-776-9316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 MEADOWRIDGE RD",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863055254",
            "telephone_number": "928-925-2008",
            "fax_number": "928-776-9316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD THERAPIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-01",
        "last_updated": "2014-08-01",
        "status": "A",
        "authorized_official_last_name": "BURKS",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "928-925-2008"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2014; 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.