Organization Active NPI

Swan Adult Pediatric Speech Therapy PLLC

  • Speech-Language Pathologist
  • Bronx, NY
National Provider Identifier
1376304998
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
SWAN ADULT PEDIATRIC SPEECH THERAPY PLLC
Practice address
2769 Matthews Ave Apt 2D
Bronx, NY 10467-8625
Phone
(917) 597-6902
NPI assigned
Jan 22, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

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

Authorized official

Name
Michelle Senior, CCC-SLPNPI 1073925376
Title
Owner
Phone
(917) 597-6902

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

2769 Matthews Ave Apt 2D
Bronx, NY 10467-8625

Mailing address

2769 Matthews Ave Apt 2D
Bronx, NY 10467-8625
Phone (917) 597-6902

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": "1705881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705881600000",
    "number": "1376304998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2769 MATTHEWS AVE APT 2D",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104678625",
            "telephone_number": "917-597-6902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2769 MATTHEWS AVE APT 2D",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104678625",
            "telephone_number": "917-597-6902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWAN ADULT PEDIATRIC SPEECH THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-22",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-20",
        "status": "A",
        "authorized_official_last_name": "SENIOR",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-597-6902",
        "authorized_official_credential": "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 Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.

Verify at the official NPI Registry.