NPIMap

Organization Active NPI

Casa Speech Therapy, LLC

  • Hearing and Speech Clinic/Center
  • Chandler, AZ
National Provider Identifier
1255801114
Registry record updated Aug 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
Legal business name
CASA SPEECH THERAPY, LLC
Practice address
501 W Ray Rd Ste 1-2
Chandler, AZ 85225-7284
Phone
(480) 296-2363
Fax
(480) 685-9875
NPI assigned
Dec 4, 2018
Last updated
Aug 27, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2021

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

Authorized official

Name
Ebony Green, M.S., CCC-SLPNPI 1285030486
Title
Owner
Phone
(210) 701-4806

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU
Hearing and Speech Clinic/Center 261QH0700X NU Primary

Addresses

Primary practice location

501 W Ray Rd Ste 1-2
Chandler, AZ 85225-7284

Mailing address

1909 E Ray Rd Ste 9-244
Chandler, AZ 85225-8724
Phone (480) 382-6618

Other practice location 1

459 N Gilbert Rd Ste A206
Gilbert, AZ 85234-4591
Phone (480) 296-2363

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@casaspeechaz.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260206000046 TX Part B Supplier - Clinic/Group Practice 5496171043 Receives reassigned benefits from 1 practitioner
Practice locations: Del Valle, TX

National Provider Directory

National Provider Directory

Locations

1909 E Ray Rd
Ste 9244
Chandler, AZ 85225
Phone (480) 296-2363

501 W Ray Rd
Ste 1
Chandler, AZ 85225
Phone (480) 296-2363

501 W Ray Rd
Ste 12
Chandler, AZ 85225
Phone (480) 296-2363

501 W Ray Rd
Ste 3
Chandler, AZ 85225

459 N Gilbert Rd
Ste A206
Gilbert, AZ 85234
Phone (480) 296-2363

Practitioners & affiliated clinicians

Practitioners 26

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.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1543881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630022400000",
    "number": "1255801114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1909 E RAY RD STE 9-244",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852258724",
            "telephone_number": "480-382-6618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 W RAY RD STE 1-2",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852257284",
            "telephone_number": "480-296-2363",
            "fax_number": "480-685-9875"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "459 N Gilbert Rd Ste A206",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852344591",
            "country_code": "US",
            "telephone_number": "480-296-2363",
            "fax_number": "480-685-9875",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CASA SPEECH THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-04",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-27",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "EBONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-701-4806",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@casaspeechaz.com",
            "affiliation": "N",
            "endpointDescription": "Fax",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Fax machine",
            "address_1": "501 W Ray Rd Ste 1-2",
            "city": "Chandler",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852257284",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2021; 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.