Organization Active NPI

Up North Speech Therapy, LLC

  • Speech-Language Pathologist
  • Gaylord, MI
National Provider Identifier
1407668437
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
UP NORTH SPEECH THERAPY, LLC
Practice address
2302 Lone Pine Rd
Gaylord, MI 49735-9606
Phone
(847) 452-2530
NPI assigned
Jan 27, 2025
Last updated
Jan 27, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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

Authorized official

Name
Marlene Chojnowski Salmon, M.A.NPI 1811445489
Title
CCC-SLP
Phone
(847) 452-2530

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 Pathologist 235Z00000X NU Primary

Addresses

Primary practice location

2302 Lone Pine Rd
Gaylord, MI 49735-9606

Mailing address

2302 Lone Pine Rd
Gaylord, MI 49735-9606
Phone (847) 452-2530

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1737936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737936000000",
    "number": "1407668437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2302 LONE PINE RD",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497359606",
            "telephone_number": "847-452-2530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2302 LONE PINE RD",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497359606",
            "telephone_number": "847-452-2530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UP NORTH SPEECH THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-27",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A",
        "authorized_official_last_name": "SALMON",
        "authorized_official_first_name": "MARLENE",
        "authorized_official_middle_name": "CHOJNOWSKI",
        "authorized_official_title_or_position": "CCC-SLP",
        "authorized_official_telephone_number": "847-452-2530",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaylord, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; 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.