Active NPI
Speakeasy Therapies & Fitness LLC
- Speech-Language Pathologist
- Maplewood, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- SPEAKEASY THERAPIES & FITNESS LLC
- Practice address
- 2718 Sutton Blvd
Maplewood, MO 63143-3036 - Phone
- (314) 246-0751
- Fax
- (314) 754-9926
- NPI assigned
- Jan 31, 2023
- Last updated
- Apr 4, 2024
- 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
- Mrs. Celia G Montes-Kolence, MS-CCC, SLP
- Title
- Owner
- Phone
- (314) 348-7327
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | NU | ||
| Speech-Language Pathologist | 235Z00000X | NU | Primary |
Addresses
Primary practice location
2718 Sutton Blvd
Maplewood, MO 63143-3036
Mailing address
2718 Sutton Blvd
Saint Louis, MO 63143-3036
Phone (314) 348-7327
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| M53210784658 | Medicaid | MO |
National Provider Directory
National Provider DirectoryLocations
12213 Big Bend Rd
Saint Louis, MO 63122
Phone (314) 246-0751
2718 Sutton Blvd
Saint Louis, MO 63143
Phone (314) 246-0751
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Speech-Language Pathologist
- Saint Charles, MO
- NPI 1871989590
-
- Speech-Language Pathologist
- Florissant, MO
- NPI 1700246774
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675123200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1712188800000",
"number": "1326744467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2718 SUTTON BLVD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631433036",
"telephone_number": "314-348-7327",
"fax_number": "314-754-9926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2718 SUTTON BLVD",
"city": "MAPLEWOOD",
"state": "MO",
"postal_code": "631433036",
"telephone_number": "314-246-0751",
"fax_number": "314-754-9926"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPEAKEASY THERAPIES & FITNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-01-31",
"last_updated": "2024-04-04",
"certification_date": "2024-04-04",
"status": "A",
"authorized_official_last_name": "MONTES-KOLENCE",
"authorized_official_first_name": "CELIA",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "314-348-7327",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MS-CCC, SLP"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "M53210784658",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Maplewood, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.