Innovative Therapy Solutions LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2012029904 Issued in MO

Legal business name

INNOVATIVE THERAPY SOLUTIONS LLC

Practice address

6145 Holmes St
Kansas City, MO 64110-3343

Phone

(816) 287-1487

NPI assigned

Oct 6, 2015

Organization subpart

No

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

Authorized official

Name

Braxton Dean Baker, SLP, BCBA

Title

Owner

Phone

(417) 766-0797

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1444089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444089600000",
    "number": "1396115077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6145 HOLMES ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641103343",
            "telephone_number": "816-287-1487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6145 HOLMES ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641103343",
            "telephone_number": "816-287-1487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE THERAPY SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-06",
        "last_updated": "2015-10-06",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "BRAXTON",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "417-766-0797",
        "authorized_official_credential": "SLP, BCBA"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2012029904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Speech-Language Pathologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2015; 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.