Mt. Airy Speech Therapy LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

MT. AIRY SPEECH THERAPY LLC

Practice address

2015 Damon Dr
Mount Airy, MD 21771-6105

Phone

(443) 691-7661

NPI assigned

Nov 18, 2021

Last updated

Nov 18, 2021By 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

Kylen WhitmoreNPI 1487202115

Title

Owner

Phone

(443) 691-7661

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.

• Kylen Whitmore, CCC-SLP

  • Speech-Language Pathologist
  • Silver Spring, MD
  • NPI 1487202115
  NPD Authorized official

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

{
    "created_epoch": "1637193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637193600000",
    "number": "1215694757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 DAMON DR",
            "city": "MOUNT AIRY",
            "state": "MD",
            "postal_code": "217716105",
            "telephone_number": "443-691-7661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 DAMON DR",
            "city": "MOUNT AIRY",
            "state": "MD",
            "postal_code": "217716105",
            "telephone_number": "443-691-7661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT. AIRY SPEECH THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-18",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A",
        "authorized_official_last_name": "WHITMORE",
        "authorized_official_first_name": "KYLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-691-7661"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mount Airy Surgical Center LLC
• Mount Airy Volunteer Fire Company
• Mt Airy Surgery Center, LLC
• Mt. Airy Eye Care, LLC
• Mt. Airy Psychological Services, LLC
• Joseph Winston Murray, PD
• Myeyedr Optometry of Maryland, LLC (MyEyeDr.)
• Nai Saturn Eastern LLC (Safeway Pharmacy #1815)
• Nai Saturn Eastern LLC (Safeway Pharmacy #1815)
• Christine Ann Nearey, R.PH.

• Speech-Language Pathologist in Mount Airy, MD
• Providers in Mount Airy, MD by specialty
• Speech-Language Pathologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2021; 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.