Organization Active NPI

Potomac Speech and Language Therapy LLC

  • Speech-Language Pathologist
  • Alexandria, VA
National Provider Identifier
1275218992
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
POTOMAC SPEECH AND LANGUAGE THERAPY LLC
Practice address
7708 Richmond Hwy # 1010
Alexandria, VA 22306-2803
Phone
(484) 638-3183
NPI assigned
Jun 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2023

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

Authorized official

Name
Erin Staudt, MS, CCC-SLP
Title
Speech-Language Pathologist
Phone
(484) 638-3183

Specialties & licenses 1

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

Addresses

Primary practice location

7708 Richmond Hwy # 1010
Alexandria, VA 22306-2803

Mailing address

7708 Richmond Hwy # 1010
Alexandria, VA 22306-2803
Phone (484) 638-3183

National Provider Directory

National Provider Directory

Locations

7708 Richmond Hwy
#1010
Alexandria, VA 22306
Phone (484) 638-3183

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": "1687219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687219200000",
    "number": "1275218992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7708 RICHMOND HWY # 1010",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223062803",
            "telephone_number": "484-638-3183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7708 RICHMOND HWY # 1010",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223062803",
            "telephone_number": "484-638-3183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POTOMAC SPEECH AND LANGUAGE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-20",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A",
        "authorized_official_last_name": "STAUDT",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "484-638-3183",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; 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.