NPIMap

Organization Active NPI

Victory Speech-Language Therapy, LLC

  • Speech-Language Pathologist
  • Atlanta, GA
National Provider Identifier
1417482753
Registry record updated Apr 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
VICTORY SPEECH-LANGUAGE THERAPY, LLC
Practice address
375 Highland Ave NE Unit 914
Atlanta, GA 30312-1387
Phone
(954) 263-7191
NPI assigned
Apr 24, 2017
Last updated
Apr 24, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2017

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

Authorized official

Name
Ms. Jodie Victor, M.S., CCC-SLP
Title
Owner
Phone
(954) 263-7191

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X Primary

Addresses

Primary practice location

375 Highland Ave NE Unit 914
Atlanta, GA 30312-1387

Mailing address

375 Highland Ave NE Unit 914
Atlanta, GA 30312-1387

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1492992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492992000000",
    "number": "1417482753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 HIGHLAND AVE NE UNIT 914",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303121387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 HIGHLAND AVE NE UNIT 914",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303121387",
            "telephone_number": "954-263-7191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORY SPEECH-LANGUAGE THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-24",
        "last_updated": "2017-04-24",
        "status": "A",
        "authorized_official_last_name": "VICTOR",
        "authorized_official_first_name": "JODIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-263-7191",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2017; 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.