Organization Active NPI

Speak Life Speech Therapy

  • Speech-Language Pathologist
  • Wapakoneta, OH
National Provider Identifier
1457978637
Registry record updated Jul 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
SPEAK LIFE SPEECH THERAPY
Practice address
817 Helen St
Wapakoneta, OH 45895-1322
Phone
(419) 230-1646
NPI assigned
Jul 3, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2020

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

Authorized official

Name
Lynn Smallwood, MA, CCC-SLPNPI 1659741288
Title
Owner
Phone
(419) 230-1646

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)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

817 Helen St
Wapakoneta, OH 45895-1322

Mailing address

817 Helen St
Wapakoneta, OH 45895-1322
Phone (419) 230-1646

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Theraplatform

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1593734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593734400000",
    "number": "1457978637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 HELEN ST",
            "city": "WAPAKONETA",
            "state": "OH",
            "postal_code": "458951322",
            "telephone_number": "419-230-1646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 HELEN ST",
            "city": "WAPAKONETA",
            "state": "OH",
            "postal_code": "458951322",
            "telephone_number": "419-230-1646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEAK LIFE SPEECH THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-03",
        "last_updated": "2020-07-03",
        "certification_date": "2020-07-03",
        "status": "A",
        "authorized_official_last_name": "SMALLWOOD",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-230-1646",
        "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": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Theraplatform",
            "affiliation": "N",
            "endpointDescription": "Telehealth platform",
            "address_1": "817 Helen St",
            "city": "Wapakoneta",
            "state": "OH",
            "country_code": "US",
            "postal_code": "458951322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wapakoneta, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2020; 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.