Organization Active NPI

Green Apple Kids Therapy LLC

  • Speech-Language Pathologist
  • Glendale, AZ
National Provider Identifier
1265350011
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
GREEN APPLE KIDS THERAPY LLC
Practice address
23634 N 58TH Ave
Glendale, AZ 85310-3647
Phone
(602) 309-8821
NPI assigned
Jul 8, 2026
Last updated
Jul 8, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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

Authorized official

Name
Robert Lee Knapp Jackson, SLPANPI 1134833759
Title
Owner
Phone
(602) 309-8821

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 6

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X
Physical Therapist 225100000X
Physical Therapy Assistant 225200000X
Occupational Therapist 225X00000X
Speech-Language Assistant 2355S0801X
Speech-Language Pathologist 235Z00000X Primary

Addresses

Primary practice location

23634 N 58TH Ave
Glendale, AZ 85310-3647

Mailing address

23634 N 58TH Ave
Glendale, AZ 85310-3647

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1783468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783468800000",
    "number": "1265350011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23634 N 58TH AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853103647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23634 N 58TH AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853103647",
            "telephone_number": "602-309-8821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN APPLE KIDS THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-08",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "ROBERT LEE",
        "authorized_official_middle_name": "KNAPP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-309-8821",
        "authorized_official_credential": "SLPA"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; 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.