Prescott Speech Therapy, LLC

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

PRESCOTT SPEECH THERAPY, LLC

Practice address

764 Highland Ave
Glen Ellyn, IL 60137-3854

Phone

(630) 913-1535

NPI assigned

Aug 28, 2024

Last updated

Aug 28, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Casey Prescott, CCC-SLPNPI 1417360082

Title

Owner

Phone

(630) 913-1535

Specialties & licenses 1

Addresses

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.

• Casey Prescott, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Chicago, IL
  • NPI 1417360082
  NPD Authorized official

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

{
    "created_epoch": "1724803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724803200000",
    "number": "1477387934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "764 HIGHLAND AVE",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601373854",
            "telephone_number": "630-913-1535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "764 HIGHLAND AVE",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601373854",
            "telephone_number": "630-913-1535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESCOTT SPEECH THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-28",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A",
        "authorized_official_last_name": "PRESCOTT",
        "authorized_official_first_name": "CASEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-913-1535",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Liliana K Popovic, LCPC
• Jessica Powell, CNS, LDN
• Kristen Powell, LCPC
• Anne Powers
• Kimberly Predmore
• Elle K Pressly
• Patricia B Price
• Marissa Lynn Puhar, PA
• Stephane Ann Puryear, BCBA
• Joan Quach, PHARMD

• Early Intervention Provider Agency in Glen Ellyn, IL
• Providers in Glen Ellyn, IL by specialty
• Early Intervention Provider Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; 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.