NPIMap

Organization Active NPI

Bespoke Speech Therapy LLC

  • Speech-Language Pathologist
  • Westport, MA
National Provider Identifier
1467027425
Registry record updated May 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
BESPOKE SPEECH THERAPY LLC
Practice address
9 Cardinal LN
Westport, MA 02790-1651
Phone
(508) 257-1096
NPI assigned
May 23, 2021
Last updated
May 23, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2021

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

Authorized official

Name
Cassandra Facchiano, MS, CCC-SLPNPI 1669080735
Title
Owner, Speech-Language Pathologist
Phone
(508) 257-1096

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 Pathologist 235Z00000X Primary

Addresses

Primary practice location

9 Cardinal LN
Westport, MA 02790-1651

Mailing address

875 State Rd. Unit 11 #144
Westport, MA 02790
Phone (508) 257-1096

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, 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": "1621728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621728000000",
    "number": "1467027425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 STATE RD. UNIT 11 #144",
            "city": "WESTPORT",
            "state": "MA",
            "postal_code": "02790",
            "telephone_number": "508-257-1096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 CARDINAL LN",
            "city": "WESTPORT",
            "state": "MA",
            "postal_code": "027901651",
            "telephone_number": "508-257-1096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BESPOKE SPEECH THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-23",
        "last_updated": "2021-05-23",
        "certification_date": "2021-05-23",
        "status": "A",
        "authorized_official_last_name": "FACCHIANO",
        "authorized_official_first_name": "CASSANDRA",
        "authorized_official_title_or_position": "OWNER, SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "508-257-1096",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westport, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2021; 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.