Organization Active NPI

Midwest Speech Therapy, LLC

  • Speech-Language Pathologist
  • Middletown, OH
National Provider Identifier
1457802738
Registry record updated Nov 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
11143 Issued in OH
Legal business name
MIDWEST SPEECH THERAPY, LLC
Practice address
440 N Verity Pkwy
Middletown, OH 45042-2129
Phone
(513) 205-3401
NPI assigned
Oct 20, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2019

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

Authorized official

Name
Michelle L CoffaroNPI 1083054167
Title
Owner, Speech Language Pathologist
Phone
(513) 205-3401

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 11143 OH Primary

Addresses

Primary practice location

440 N Verity Pkwy
Middletown, OH 45042-2129

Mailing address

142 Edison Dr
Middletown, OH 45044-3269
Phone (513) 205-3401

Other practice location 1

7799 Joan Dr
West Chester, OH 45069-3682
Phone (513) 205-3401

National Provider Directory

National Provider Directory

Locations

142 Edison Dr
Middletown, OH 45044
Phone (513) 205-3401

440 N Verity Pkwy
Middletown, OH 45042
Phone (513) 205-3401

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": "1476921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574035200000",
    "number": "1457802738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 EDISON DR",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450443269",
            "telephone_number": "513-205-3401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 N VERITY PKWY",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450422129",
            "telephone_number": "513-205-3401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7799 Joan Dr",
            "address_purpose": "LOCATION",
            "city": "West Chester",
            "state": "OH",
            "postal_code": "450693682",
            "country_code": "US",
            "telephone_number": "513-205-3401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MIDWEST SPEECH THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-20",
        "last_updated": "2019-11-18",
        "status": "A",
        "authorized_official_last_name": "COFFARO",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER, SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "513-205-3401"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "11143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2019; 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.