NPIMap

Organization Active NPI

My Speech Pocket, LLC

  • Speech-Language Pathologist
  • Ruther Glen, VA
National Provider Identifier
1346851862
Registry record updated Aug 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
MY SPEECH POCKET, LLC
Practice address
6155 Derby Way
Ruther Glen, VA 22546-2753
Phone
(804) 390-5599
NPI assigned
Aug 10, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2020

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

Authorized official

Name
Macy Grathwol, MSED CCC-SLPNPI 1386032381
Title
Owner/SLP
Phone
(804) 390-5599

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

6155 Derby Way
Ruther Glen, VA 22546-2753

Mailing address

6155 Derby Way
Ruther Glen, VA 22546-2753
Phone (804) 390-5599

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1597017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597017600000",
    "number": "1346851862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6155 DERBY WAY",
            "city": "RUTHER GLEN",
            "state": "VA",
            "postal_code": "225462753",
            "telephone_number": "804-390-5599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6155 DERBY WAY",
            "city": "RUTHER GLEN",
            "state": "VA",
            "postal_code": "225462753",
            "telephone_number": "804-390-5599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY SPEECH POCKET, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-10",
        "last_updated": "2020-08-10",
        "certification_date": "2020-08-10",
        "status": "A",
        "authorized_official_last_name": "GRATHWOL",
        "authorized_official_first_name": "MACY",
        "authorized_official_title_or_position": "OWNER/SLP",
        "authorized_official_telephone_number": "804-390-5599",
        "authorized_official_credential": "MSED 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": []
}

Other providers in Ruther Glen, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.