NPIMap

Organization Active NPI

Center 4 Speech

  • Speech-Language Pathologist
  • Mars, PA
National Provider Identifier
1295754489
Registry record updated Aug 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SL007420 Issued in PA
Legal business name
CENTER 4 SPEECH
Practice address
7011 Crider Rd. Suite 102
Mars, PA 16046
Phone
(724) 687-0597
Fax
(724) 918-9909
NPI assigned
Jul 19, 2006
Last updated
Aug 30, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2012

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

Authorized official

Name
Mr. John K. Myers, CCC-MDLPNPI 1225052509
Title
Owner
Phone
(724) 687-0597

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 Pathologist 235Z00000X SL007420 PA Primary
Speech-Language Pathologist 235Z00000X SL007350 PA

Addresses

Primary practice location

7011 Crider Rd. Suite 102
Mars, PA 16046

Mailing address

7011 Crider Rd. Suite 102
Mars, PA 16046
Phone (724) 687-0597

Other names 1

  • Midwestern Rehabilitation Former legal business name

National Provider Directory

National Provider Directory

Locations

7011 Crider Rd
Mars, PA 16046
Phone (724) 687-0597

7011 Crider Rd
Ste 102
Mars, PA 16046
Phone (724) 687-0597

Practitioners & affiliated clinicians

Practitioners 4

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": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346284800000",
    "number": "1295754489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7011 CRIDER RD. SUITE 102",
            "city": "MARS",
            "state": "PA",
            "postal_code": "16046",
            "telephone_number": "724-687-0597",
            "fax_number": "724-918-9909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7011 CRIDER RD. SUITE 102",
            "city": "MARS",
            "state": "PA",
            "postal_code": "16046",
            "telephone_number": "724-687-0597",
            "fax_number": "724-918-9909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER 4 SPEECH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2012-08-30",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-687-0597",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CCC-MDLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL007420",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL007350",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midwestern Rehabilitation",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Mars, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2012; 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.