Riverfront Speech Therapy LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

RIVERFRONT SPEECH THERAPY LLC

Doing business as

Riverfront Speech Therapy

Practice address

3186 Parkwood St
Trenton, MI 48183-3659

Phone

(734) 818-1508

NPI assigned

May 12, 2021

Organization subpart

No

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

Authorized official

Name

Ms. Marcia Exner, MA CCC-SLPNPI 1205330941

Title

Speech-Language Pathologist

Phone

(734) 808-1505

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Riverfront Speech Therapy Doing business as

Electronic endpoints 6

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marcia Diane Exner, M.A., C.C.C.-SLP

  • Speech-Language Pathologist
  • Troy, MI
  • NPI 1205330941
  Medicare reassignment Authorized official
• Danielle Short

  • Speech-Language Pathologist
  • Hartland, MI
  • NPI 1255878294
  Medicare reassignment

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

{
    "created_epoch": "1620777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620777600000",
    "number": "1447834676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3186 PARKWOOD ST",
            "city": "TRENTON",
            "state": "MI",
            "postal_code": "481833659",
            "telephone_number": "734-818-1508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3186 PARKWOOD ST",
            "city": "TRENTON",
            "state": "MI",
            "postal_code": "481833659",
            "telephone_number": "734-818-1508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERFRONT SPEECH THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-12",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-09",
        "status": "A",
        "authorized_official_last_name": "EXNER",
        "authorized_official_first_name": "MARCIA",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "734-808-1505",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH ID",
            "identifier": "15142810",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH ID",
            "identifier": "14258076",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1205330941",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1912591587",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.",
            "affiliation": "N",
            "endpointDescription": "Private practice website",
            "address_1": "3186 Parkwood St",
            "city": "Trenton",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481833659",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.",
            "affiliation": "N",
            "endpointDescription": "Private practice website",
            "address_1": "3186 Parkwood St",
            "city": "Trenton",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481833659",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.",
            "affiliation": "N",
            "endpointDescription": "Private practice website",
            "address_1": "3186 Parkwood St",
            "city": "Trenton",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481833659",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.",
            "affiliation": "N",
            "endpointDescription": "Private practice website",
            "address_1": "3186 Parkwood St",
            "city": "Trenton",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481833659",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.",
            "affiliation": "N",
            "endpointDescription": "Private practice website",
            "address_1": "3186 Parkwood St",
            "city": "Trenton",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481833659",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "riverfrontspeechtherapy.clientsecure.me/sign-in",
            "affiliation": "N",
            "endpointDescription": "Private Practice Website",
            "address_1": "3186 Parkwood St",
            "city": "Trenton",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481833659",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Riverfront Speech Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrea Danielle Rich
• Paul Gerard Riker, DDS
• Madeline Jane Rista, FNP-C
• River Urgent Care & Medical Clinic PC
• River Urgent Care & Medical Clinic PC
• Riverside OB GYN P C
• Riverside Prof. Drug Inc.
• Riverside Professional Drug Inc
• Robert H Dickason D O P C
• Emma Marie Roberts

• Speech-Language Pathologist in Trenton, MI
• Providers in Trenton, MI by specialty
• Speech-Language Pathologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2021; 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.