Organization Active NPI

Pediatric Speech Therapy Associates

Doing business as Summit Pediatric Therapy

  • Speech-Language Pathologist
  • Littleton, CO
National Provider Identifier
1346845393
Registry record updated Nov 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
PEDIATRIC SPEECH THERAPY ASSOCIATES
Doing business as
Summit Pediatric Therapy
Practice address
9200 W Cross Dr Ste 120
Littleton, CO 80123-2239
Phone
(720) 542-8737
Fax
(720) 242-8085
NPI assigned
Nov 30, 2020
Organization subpart
Yes
Parent organization
PEDIATRIC SPEECH THERAPY ASSOCIATESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 30, 2020

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

Authorized official

Name
Jessica Larkin Shepherd
Title
Director of Therapy
Phone
(720) 542-8737

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251P0200X
Pediatric Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XP0200X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X Primary
Hearing and Speech Clinic/Center 261QH0700X

Addresses

Primary practice location

9200 W Cross Dr Ste 120
Littleton, CO 80123-2239

Mailing address

9200 W Cross Dr Ste 120
Littleton, CO 80123-2239
Phone (720) 542-8737

Other names 1

  • Summit Pediatric Therapy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pediatric Speech Therapy Associates7 organizations share this tax ID, including this one
Part of
Pediatric Speech Therapy Associates

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

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": "1606694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606694400000",
    "number": "1346845393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 W CROSS DR STE 120",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801232239",
            "telephone_number": "720-542-8737",
            "fax_number": "720-242-8085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 W CROSS DR STE 120",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801232239",
            "telephone_number": "720-542-8737",
            "fax_number": "720-242-8085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC SPEECH THERAPY ASSOCIATES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PEDIATRIC SPEECH THERAPY ASSOCIATES",
        "enumeration_date": "2020-11-30",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A",
        "authorized_official_last_name": "SHEPHERD",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "LARKIN",
        "authorized_official_title_or_position": "DIRECTOR OF THERAPY",
        "authorized_official_telephone_number": "720-542-8737"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summit Pediatric Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Littleton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.