Organization Active NPI

Thrive Feeding and Speech Therapy

  • Speech-Language Pathologist
  • Charlestown, MA
National Provider Identifier
1295489524
Registry record updated Feb 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
THRIVE FEEDING AND SPEECH THERAPY
Practice address
250 1St Ave Unit 222
Charlestown, MA 02129-4403
Phone
(516) 729-9406
NPI assigned
Feb 6, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2022

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

Authorized official

Name
Joan Fitzgerald, MS CCC-SLP
Title
Speech Language Pathologist
Phone
(516) 729-9406

Specialties & licenses 1

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

Addresses

Primary practice location

250 1St Ave Unit 222
Charlestown, MA 02129-4403

Mailing address

250 1St Ave Unit 222
Charlestown, MA 02129-4403
Phone (516) 729-9406

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.

NPI Registry JSON

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

{
    "created_epoch": "1644105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644105600000",
    "number": "1295489524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 1ST AVE UNIT 222",
            "city": "CHARLESTOWN",
            "state": "MA",
            "postal_code": "021294403",
            "telephone_number": "516-729-9406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 1ST AVE UNIT 222",
            "city": "CHARLESTOWN",
            "state": "MA",
            "postal_code": "021294403",
            "telephone_number": "516-729-9406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVE FEEDING AND SPEECH THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-06",
        "last_updated": "2022-02-06",
        "certification_date": "2022-02-06",
        "status": "A",
        "authorized_official_last_name": "FITZGERALD",
        "authorized_official_first_name": "JOAN",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "516-729-9406",
        "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 Charlestown, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2022; 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.