Active NPI
Speak Life Speech Therapy
- Speech-Language Pathologist
- Wapakoneta, OH
National Provider Identifier
1457978637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lynn Smallwood, MA, CCC-SLP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Theraplatform |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- Wapakoneta, OH
- NPI 1659741288
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.