Active NPI
Up North Speech Therapy, LLC
- Speech-Language Pathologist
- Gaylord, MI
National Provider Identifier
1407668437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- 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, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marlene Chojnowski Salmon, M.A.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & 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.
-
- Speech-Language Pathologist
- Gaylord, MI
- NPI 1811445489
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.