NPIMap

Organization Active NPI

Life Cycle Speech Therapy Corporation

Doing business as Life Cycle Speech Therapy

  • Speech-Language Pathologist
  • San Diego, CA
National Provider Identifier
1275381600
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
LIFE CYCLE SPEECH THERAPY CORPORATION
Doing business as
Life Cycle Speech Therapy
Practice address
3636 Camino del Rio N Ste 101
San Diego, CA 92108-1722
Phone
(619) 928-1293
Fax
(619) 923-7522
NPI assigned
May 9, 2024
Last updated
Dec 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

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

Authorized official

Name
Ana Trapp
Title
Business Manager
Phone
(619) 928-1293

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X NU Primary

Addresses

Primary practice location

3636 Camino del Rio N Ste 101
San Diego, CA 92108-1722

Mailing address

3636 Camino del Rio N Ste 101
San Diego, CA 92108-1722
Phone (619) 928-1293

Other names 1

  • Life Cycle Speech Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

3636 Camino del Rio N
Ste 101
San Diego, CA 92108

Practitioners & affiliated clinicians

Practitioners 3

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": "1715212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765756800000",
    "number": "1275381600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3636 CAMINO DEL RIO N STE 101",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081722",
            "telephone_number": "619-928-1293",
            "fax_number": "619-923-7522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3636 CAMINO DEL RIO N STE 101",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081722",
            "telephone_number": "619-928-1293",
            "fax_number": "619-923-7522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE CYCLE SPEECH THERAPY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-09",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A",
        "authorized_official_last_name": "TRAPP",
        "authorized_official_first_name": "ANA",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "619-928-1293"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Life Cycle Speech Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 15, 2025; 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.