Eagle Therapy Services LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP.00001240 Issued in CO

Legal business name

EAGLE THERAPY SERVICES LLC

Practice address

299 Gunstock Hill Rd
Gilford, NH 03249-7563

Phone

(603) 293-0637

Fax

(270) 626-6465

NPI assigned

Jun 30, 2015

Organization subpart

No

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

Authorized official

Name

Renee Ann Legro

Title

Owner

Phone

(603) 293-0637

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1435622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1275916991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "299 GUNSTOCK HILL RD",
            "city": "GILFORD",
            "state": "NH",
            "postal_code": "032497563",
            "telephone_number": "603-293-0637",
            "fax_number": "270-626-6465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 GUNSTOCK HILL RD",
            "city": "GILFORD",
            "state": "NH",
            "postal_code": "032497563",
            "telephone_number": "603-293-0637",
            "fax_number": "270-626-6465"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "93 Newquist Street",
            "address_purpose": "LOCATION",
            "city": "Eagle",
            "state": "CO",
            "postal_code": "816314198",
            "country_code": "US",
            "telephone_number": "970-331-4001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "0077 Haystacker Dr",
            "address_purpose": "LOCATION",
            "city": "Wolcott",
            "state": "CO",
            "postal_code": "816558165",
            "country_code": "US",
            "telephone_number": "970-331-4001",
            "fax_number": "270-626-6465",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EAGLE THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-30",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "LEGRO",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "603-293-0637"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "SLP.00001240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Gilford, NH
• Speech-Language Pathologist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.