Organization Active NPI

Momentum Speech Therapy

  • Speech-Language Pathologist
  • Fort Collins, CO
National Provider Identifier
1285090209
Registry record updated Jul 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
0000169 Issued in CO
Legal business name
MOMENTUM SPEECH THERAPY
Practice address
333 W Drake Rd
Fort Collins, CO 80526-6320
Phone
(970) 817-1053
NPI assigned
Jan 6, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2021

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

Authorized official

Name
Leann SippleNPI 1952478000
Title
Owner / SLP
Phone
(970) 817-1053

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 0000169 CO Primary

Addresses

Primary practice location

333 W Drake Rd
Fort Collins, CO 80526-6320

Mailing address

1902 Silvergate Rd
Fort Collins, CO 80526-3355

Other practice location 1

4115 Boardwalk Dr
Suite 200
Fort Collins, CO 80525-5945
Phone (970) 817-1053

National Provider Directory

National Provider Directory

Locations

333 W Drake Rd
Fort Collins, CO 80526
Phone (970) 218-3381

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": "1452038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625616000000",
    "number": "1285090209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1902 SILVERGATE RD",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805263355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 W DRAKE RD",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805266320",
            "telephone_number": "970-817-1053"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4115 Boardwalk Dr",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "805255945",
            "country_code": "US",
            "telephone_number": "970-817-1053",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MOMENTUM SPEECH THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-06",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A",
        "authorized_official_last_name": "SIPPLE",
        "authorized_official_first_name": "LEANN",
        "authorized_official_title_or_position": "OWNER / SLP",
        "authorized_official_telephone_number": "970-817-1053"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "0000169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2021; 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.