NPIMap

Organization Active NPI

Interaactive Speech Therapy

  • Speech-Language Pathologist
  • Anthem, AZ
National Provider Identifier
1295512267
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
INTERAACTIVE SPEECH THERAPY
Practice address
3222 W Fuller Dr
Anthem, AZ 85086-6004
Phone
(847) 596-0445
NPI assigned
Sep 12, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Authorized official

Name
Sarah Farison, MS CCC-SLPNPI 1053801514
Title
Owner
Phone
(847) 596-0445

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary
Home Health Agency 251E00000X

Addresses

Primary practice location

3222 W Fuller Dr
Anthem, AZ 85086-6004

Mailing address

3222 W Fuller Dr
Anthem, AZ 85086-6004

Other names 1

  • InterAACtive Speech Therapy Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1694476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729468800000",
    "number": "1295512267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3222 W FULLER DR",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850866004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3222 W FULLER DR",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850866004",
            "telephone_number": "847-596-0445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERAACTIVE SPEECH THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-12",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A",
        "authorized_official_last_name": "FARISON",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-596-0445",
        "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
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "InterAACtive Speech Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "InterAACtive Speech Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Anthem, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; 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.