NPIMap

Organization Active NPI

Speech & Language Rehabilitation Service LTD

  • Speech-Language Pathologist
  • Peoria, IL
National Provider Identifier
1316062797
Registry record updated Apr 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
SPEECH & LANGUAGE REHABILITATION SERVICE LTD
Practice address
2001 W Willow Knolls Dr
Suite 106
Peoria, IL 61614-1290
Phone
(309) 689-9920
Fax
(309) 689-9923
NPI assigned
Mar 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2020

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

Authorized official

Name
Danila L McAsey, SLP/L
Title
President
Phone
(309) 689-9920

Specialties & licenses 1

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

Addresses

Primary practice location

2001 W Willow Knolls Dr
Suite 106
Peoria, IL 61614-1290

Mailing address

2001 W Willow Knolls Dr
Suite 106
Peoria, IL 61614-1290
Phone (309) 689-9920

National Provider Directory

National Provider Directory

Locations

2001 W Willow Knolls Dr
Ste 201
Peoria, IL 61614
Phone (309) 219-1140

2001 W Willow Knolls Dr
Peoria, IL 61614
Phone (309) 396-6425

2001 W Willow Knolls Dr
Ste 106
Peoria, IL 61614
Phone (309) 689-9920

Practitioners & affiliated clinicians

Practitioners 7

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": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587427200000",
    "number": "1316062797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 W WILLOW KNOLLS DR",
            "address_2": "SUITE 106",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616141290",
            "telephone_number": "309-689-9920",
            "fax_number": "309-689-9923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 W WILLOW KNOLLS DR",
            "address_2": "SUITE 106",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616141290",
            "telephone_number": "309-689-9920",
            "fax_number": "309-689-9923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECH & LANGUAGE REHABILITATION SERVICE LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-04-21",
        "certification_date": "2020-04-21",
        "status": "A",
        "authorized_official_last_name": "MCASEY",
        "authorized_official_first_name": "DANILA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "309-689-9920",
        "authorized_official_credential": "SLP/L"
    },
    "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 Peoria, IL

Sources for this page

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

Verify at the official NPI Registry.