Active NPI
Southern Ohio Speech Clinic LLC
- Speech-Language Pathologist
- Piketon, OH
National Provider Identifier
1306704531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- SOUTHERN OHIO SPEECH CLINIC LLC
- Practice address
- 1862 Shyville Rd
Piketon, OH 45661-9749 - Phone
- (740) 701-8988
- NPI assigned
- Jan 15, 2026
- Last updated
- Jan 15, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Grace Bales
- Title
- Speech Language Pathologist
- Phone
- (740) 701-8988
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | NU | Primary |
Addresses
Primary practice location
1862 Shyville Rd
Piketon, OH 45661-9749
Mailing address
53 Fairway Cir
Piketon, OH 45661-9106
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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": "1768435200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1768435200000",
"number": "1306704531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "53 FAIRWAY CIR",
"city": "PIKETON",
"state": "OH",
"postal_code": "456619106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1862 SHYVILLE RD",
"city": "PIKETON",
"state": "OH",
"postal_code": "456619749",
"telephone_number": "740-701-8988"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHERN OHIO SPEECH CLINIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-01-15",
"last_updated": "2026-01-15",
"certification_date": "2026-01-15",
"status": "A",
"authorized_official_last_name": "BALES",
"authorized_official_first_name": "GRACE",
"authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
"authorized_official_telephone_number": "740-701-8988"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Piketon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.