Organization Active NPI

Guardian Speech Therapy

  • Hearing and Speech Clinic/Center
  • Perrysburg, OH
National Provider Identifier
1255105094
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
Legal business name
GUARDIAN SPEECH THERAPY
Practice address
30134 Waterford Dr
Perrysburg, OH 43551-3492
Phone
(567) 356-7430
NPI assigned
Nov 13, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2023

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

Authorized official

Name
Megan Dakhnovets, SLPNPI 1720460348
Title
Speech Language Pathologist
Phone
(567) 356-7430

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
Hearing and Speech Clinic/Center 261QH0700X Primary

Addresses

Primary practice location

30134 Waterford Dr
Perrysburg, OH 43551-3492

Mailing address

30134 Waterford Dr
Perrysburg, OH 43551-3492
Phone (567) 356-7430

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240131004146 OH Part B Supplier - Clinic/Group Practice 7214380708 Receives reassigned benefits from 1 practitioner
Practice locations: Perrysburg, OH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1699833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699833600000",
    "number": "1255105094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30134 WATERFORD DR",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435513492",
            "telephone_number": "567-356-7430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30134 WATERFORD DR",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435513492",
            "telephone_number": "567-356-7430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN SPEECH THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-13",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A",
        "authorized_official_last_name": "DAKHNOVETS",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "567-356-7430",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perrysburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; 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.