Thrive Speech Pathology

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

THRIVE SPEECH PATHOLOGY

Practice address

1801 Butler Pike Apt 25
Conshohocken, PA 19428-3109

Phone

(610) 299-8118

NPI assigned

Jul 6, 2020

Organization subpart

No

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

Authorized official

Name

Emily Theresa Overbaugh, MA,CCC-SLPNPI 1447876842

Title

Owner

Phone

(610) 299-8118

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Interoperability endpoints

• Direct secure messaging: emily@thrivespeechpathology.com

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Emily Theresa Overbaugh, MA, CCC-SLP

  • Speech-Language Pathologist
  • Conshohocken, PA
  • NPI 1447876842
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1593993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595808000000",
    "number": "1326665449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 BUTLER PIKE APT 25",
            "city": "CONSHOHOCKEN",
            "state": "PA",
            "postal_code": "194283109",
            "telephone_number": "610-299-8118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 BUTLER PIKE APT 25",
            "city": "CONSHOHOCKEN",
            "state": "PA",
            "postal_code": "194283109",
            "telephone_number": "610-299-8118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVE SPEECH PATHOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-06",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A",
        "authorized_official_last_name": "OVERBAUGH",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "THERESA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-299-8118",
        "authorized_official_credential": "MA,CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Emily@thrivespeechpathology.com",
            "affiliation": "N",
            "endpointDescription": "Secure e-mail",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1801 Butler Pike Apt 25",
            "city": "Conshohocken",
            "state": "PA",
            "country_code": "US",
            "postal_code": "194283109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Speech-Language Pathologist in Conshohocken, PA
• Providers in Conshohocken, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.