Impact Speech Therapy Inc

Primary specialty

Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X

Legal business name

IMPACT SPEECH THERAPY INC

Practice address

60 Declaration Dr Ste D
Chico, CA 95973-4920

Phone

(530) 961-6090

NPI assigned

Mar 13, 2025

Organization subpart

No

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

Authorized official

Name

Kayla ShaffnerNPI 1871051276

Title

Owner

Phone

(530) 961-6090

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Kayla Shaffner, MS, SLP-CCC

  • Speech-Language Pathologist
  • Chico, CA
  • NPI 1871051276
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1741824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741824000000",
    "number": "1326848987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 DECLARATION DR STE D",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959734920",
            "telephone_number": "530-961-6090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 DECLARATION DR STE D",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959734920",
            "telephone_number": "530-961-6090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPACT SPEECH THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-13",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A",
        "authorized_official_last_name": "SHAFFNER",
        "authorized_official_first_name": "KAYLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "530-961-6090"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maribel Bravo Ibarra, LCSW, PPS
• Richard Franklin Ickes, PTA
• Maia Alexis Illa, LCSW
• Roberto V Illa, M.D.
• Immediate Care Occupational Medicine a Professional Corporation
• Gary A Incaudo, MD
• Innovative Health Care Services
• Jeffrey David Inslee, LMFT
• Inspire Physical Therapy P.C.
• Inspire School of Arts & Sciences

• Hearing and Speech Clinic/Center in Chico, CA
• Providers in Chico, CA by specialty
• Hearing and Speech Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; 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.