Organization Active NPI

Virtual Speech Therapy LLC

  • Speech-Language Pathologist
  • San Diego, CA
National Provider Identifier
1255184347
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
VIRTUAL SPEECH THERAPY LLC
Practice address
4475 Del Mar Ave
San Diego, CA 92107-3618
Phone
(909) 709-5646
NPI assigned
Apr 8, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2024

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

Authorized official

Name
Henry Richardson, MD
Title
Owner
Phone
(909) 709-5646

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

4475 Del Mar Ave
San Diego, CA 92107-3618

Mailing address

4475 Del Mar Ave
San Diego, CA 92107-3618
Phone (909) 709-5646

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1712534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712534400000",
    "number": "1255184347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4475 DEL MAR AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921073618",
            "telephone_number": "909-709-5646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4475 DEL MAR AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921073618",
            "telephone_number": "909-709-5646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRTUAL SPEECH THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-08",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "HENRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-709-5646",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; 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.