Roots & Wings Pediatric Therapy

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

ROOTS & WINGS PEDIATRIC THERAPY

Practice address

215 Ashford Dr
Glen Carbon, IL 62034-8516

Phone

(618) 791-5554

NPI assigned

Aug 25, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Sarah Beth Garman, MS, CCC-SLP

Title

Owner

Phone

(618) 791-5554

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1598313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598313600000",
    "number": "1326651720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 ASHFORD DR",
            "city": "GLEN CARBON",
            "state": "IL",
            "postal_code": "620348516",
            "telephone_number": "618-791-5554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 ASHFORD DR",
            "city": "GLEN CARBON",
            "state": "IL",
            "postal_code": "620348516",
            "telephone_number": "618-791-5554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOTS & WINGS PEDIATRIC THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-25",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-25",
        "status": "A",
        "authorized_official_last_name": "GARMAN",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-791-5554",
        "authorized_official_name_prefix": "Mrs.",
        "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
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dynasty Donminik Rockett
• Vickie Gail Rodgers
• Rodney L Bailey, DMD, PC
• Katie Roemer, LPC
• Graciela Romo
• Dustin Clark Rosenburg, D.C.
• Abby Michelle Roth
• Bruce E Rotter, D.M.D.
• Samantha Rowe
• Zabree Marie Russell

• Speech-Language Pathologist in Glen Carbon, IL
• Providers in Glen Carbon, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.