Organization Active NPI

National Speech Language Therapy Center

  • Speech-Language Pathologist
  • Germantown, MD
National Provider Identifier
1386026938
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
NATIONAL SPEECH LANGUAGE THERAPY CENTER
Practice address
20400 Observation Dr
104
Germantown, MD 20876-4085
Phone
(301) 540-0445
NPI assigned
Jun 19, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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

Authorized official

Name
Jeanne Ellinport
Title
Chief Operating Officer
Phone
(301) 799-3304

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X MD Primary

Addresses

Primary practice location

20400 Observation Dr
104
Germantown, MD 20876-4085

Mailing address

20400 Observation Dr
104
Germantown, MD 20876-4085
Phone (301) 540-0445

National Provider Directory

National Provider Directory
Tax ID family
National Speechlanguage Therapy Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the 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": "1434672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722384000000",
    "number": "1386026938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20400 OBSERVATION DR",
            "address_2": "104",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208764085",
            "telephone_number": "301-540-0445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20400 OBSERVATION DR",
            "address_2": "104",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208764085",
            "telephone_number": "301-540-0445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL SPEECH LANGUAGE THERAPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-19",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A",
        "authorized_official_last_name": "ELLINPORT",
        "authorized_official_first_name": "JEANNE",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "301-799-3304"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.