NPIMap

Organization Active NPI

Speech and Feeding Therapy, LLC

  • Speech-Language Pathologist
  • Thibodaux, LA
National Provider Identifier
1235648239
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
5751 Issued in LA
Legal business name
SPEECH AND FEEDING THERAPY, LLC
Practice address
1000 Plantation Rd Ste 1a
Thibodaux, LA 70301
Phone
(225) 229-4047
NPI assigned
Sep 22, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Holly Grabert, CCC-SLPNPI 1013113422
Title
Owner
Phone
(225) 229-4047

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 5751 LA Primary

Addresses

Primary practice location

1000 Plantation Rd Ste 1a
Thibodaux, LA 70301

Mailing address

1000 Plantation Rd Ste 1a
Thibodaux, LA 70301-4264
Phone (225) 229-4047

Other practice location 1

259 Kleinpeter Drive
Thibodaux, LA 70301
Phone (225) 229-4047

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191212001079 LA Part B Supplier - Clinic/Group Practice 4183057748 Receives reassigned benefits from 2 practitioners
Practice locations: Thibodaux, LA

National Provider Directory

National Provider Directory

Locations

1000 Plantation Rd
Ste 1A
Thibodaux, LA 70301
Phone (225) 229-4047

507 Saint Mary St
#A
Thibodaux, LA 70301
Phone (985) 387-1919

1000 Plantation Rd
Ste A1
Thibodaux, LA 70301
Phone (225) 229-4047

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1506038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1235648239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 PLANTATION RD STE 1A",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703014264",
            "telephone_number": "225-229-4047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 PLANTATION RD STE 1A",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "70301",
            "telephone_number": "225-229-4047"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "259 Kleinpeter Drive",
            "address_purpose": "LOCATION",
            "city": "Thibodaux",
            "state": "LA",
            "postal_code": "70301",
            "country_code": "US",
            "telephone_number": "225-229-4047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SPEECH AND FEEDING THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-22",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GRABERT",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-229-4047",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "LA",
            "license": "5751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thibodaux, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.