Innovative Therapy Solutions, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

INNOVATIVE THERAPY SOLUTIONS, LLC

Practice address

300 S Gillette Ave Ste 1301
Gillette, WY 82716-3733

Phone

(307) 299-5444

NPI assigned

Jun 4, 2020

Last updated

Jun 23, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kara Roberts, MS, SLPNPI 1396265765

Title

Speech Language Pathologist

Phone

(307) 299-5444

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kara J Roberts

  • Speech-Language Pathologist
  • Gillette, WY
  • NPI 1396265765
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1591228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592870400000",
    "number": "1396369369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S GILLETTE AVE STE 1301",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827163733",
            "telephone_number": "307-299-5444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S GILLETTE AVE STE 1301",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827163733",
            "telephone_number": "307-299-5444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE THERAPY SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-04",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "KARA",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "307-299-5444",
        "authorized_official_credential": "MS, SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal Huntrods, PHARM.D.
• Jamie S Hurich, PPC
• Timothy Alan Hursh, M.D.
• Mariah Igo
• Robert Joseph Innes, PH.D.
• Stanford T Israelsen, MD
• Lisa Jackson-Eldridge, MSW
• Amber Lauren Jackson-Jordan, R.N.
• Brenda Lavonne Jacob, MS, CCDC III, LAT
• Kerena Luann Jacquot

• Speech-Language Pathologist in Gillette, WY
• Providers in Gillette, WY by specialty
• Speech-Language Pathologist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.