NPIMap

Organization Active NPI

Speech Therapy Group, LLC.

  • Speech-Language Pathologist
  • Beverly, MA
National Provider Identifier
1447289103
Registry record updated Mar 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
SPEECH THERAPY GROUP, LLC.
Doing business as
Speech Therapy Group, LLC.
Practice address
100 Cummings Ctr
Suite 135H
Beverly, MA 01915-6115
Phone
(978) 927-0172
NPI assigned
Jul 2, 2006
Last updated
Mar 14, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2019

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

Authorized official

Name
Melanie Giles, MA, CCC-SLP, LABANPI 1942368337
Title
Owner/President
Phone
(978) 927-0172

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X NU Primary
Behavior Analyst 103K00000X NU

Addresses

Primary practice location

100 Cummings Ctr
Suite 135H
Beverly, MA 01915-6115

Mailing address

100 Cummings Ctr
Suite 135H
Beverly, MA 01915-6115
Phone (978) 927-0172

Other practice location 1

104 Endicott St Ste 100
Danvers, MA 01923-3623
Phone (978) 927-0172

Other practice location 2

55 Tozer Rd
Beverly, MA 01915-5515
Phone (978) 927-0172

Other identifiers 4

IdentifierTypeStateIssuer
SP0110OtherMABLUE CROSS PROVIDER
610987OtherMATUFTS PROVIDER
9739220MedicaidMA
AA23990OtherMAHARVARD PILGRIM PROVIDER

Other names 1

  • Speech Therapy Group, LLC. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110224000201 MA Part B Supplier - Clinic/Group Practice 4183714462 Receives reassigned benefits from 20 practitioners
Practice locations: Beverly, MA; Danvers, MA

National Provider Directory

National Provider Directory

Locations

100 Cummings Ctr
Ste 135H
Beverly, MA 01915
Phone (978) 927-0172

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 49

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.

View all 49

NPI Registry JSON

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552521600000",
    "number": "1447289103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CUMMINGS CTR",
            "address_2": "SUITE 135H",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019156115",
            "telephone_number": "978-927-0172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CUMMINGS CTR",
            "address_2": "SUITE 135H",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019156115",
            "telephone_number": "978-927-0172"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "104 Endicott St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Danvers",
            "state": "MA",
            "postal_code": "019233623",
            "country_code": "US",
            "telephone_number": "978-927-0172",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "55 Tozer Rd",
            "address_purpose": "LOCATION",
            "city": "Beverly",
            "state": "MA",
            "postal_code": "019155515",
            "country_code": "US",
            "telephone_number": "978-927-0172",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SPEECH THERAPY GROUP, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2019-03-14",
        "status": "A",
        "authorized_official_last_name": "GILES",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "978-927-0172",
        "authorized_official_credential": "MA, CCC-SLP, LABA"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER",
            "identifier": "SP0110",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS PROVIDER",
            "identifier": "610987",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9739220",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM PROVIDER",
            "identifier": "AA23990",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Speech Therapy Group, LLC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beverly, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2019; 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.