Active NPI
Anna Marie Stromberg
- Speech-Language Pathologist
- Plymouth, MI
National Provider Identifier
1306384862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 46200 Port St
Plymouth, MI 48170-6048 - Phone
- (734) 454-0866
- NPI assigned
- Feb 5, 2017
- Last updated
- Jan 10, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
46200 Port St
Plymouth, MI 48170-6048
Mailing address
46200 Port St
Plymouth, MI 48170-6048
Phone (734) 454-0866
Other practice location 1
21000 S Frankfort Square Rd
Suite D
Frankfort, IL 60423-9385
Phone (815) 469-1500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Westside Childrens Therapy | Speech-Language Pathologist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578614400000",
"number": "1306384862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "46200 PORT ST",
"city": "PLYMOUTH",
"state": "MI",
"postal_code": "481706048",
"telephone_number": "734-454-0866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "46200 PORT ST",
"city": "PLYMOUTH",
"state": "MI",
"postal_code": "481706048",
"telephone_number": "734-454-0866"
}
],
"practiceLocations": [
{
"address_1": "21000 S Frankfort Square Rd",
"address_2": "Suite D",
"address_purpose": "LOCATION",
"city": "Frankfort",
"state": "IL",
"postal_code": "604239385",
"country_code": "US",
"telephone_number": "815-469-1500",
"fax_number": "815-220-5619",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STROMBERG",
"first_name": "ANNA",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-05",
"last_updated": "2020-01-10",
"certification_date": "2020-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plymouth, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.