Organization Active NPI

Heartbeat Speech Therapy L.L.C.

  • Developmentally Disabled Services Day Training Agency
  • Phoenix, AZ
National Provider Identifier
1487006698
Registry record updated Jul 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
SLP0687 Issued in AZ
Legal business name
HEARTBEAT SPEECH THERAPY L.L.C.
Practice address
16454 S 29TH St
Phoenix, AZ 85048-8559
Phone
(480) 889-4636
NPI assigned
Jul 12, 2016
Last updated
Jul 12, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2016

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

Authorized official

Name
Mr. Jim W Yontz, CCC-SLP
Title
Speech Pathologist
Phone
(480) 889-4636

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X SLP0687 AZ Primary

Addresses

Primary practice location

16454 S 29TH St
Phoenix, AZ 85048-8559

Mailing address

16454 S 29TH St
Phoenix, AZ 85048-8559
Phone (480) 889-4636

Other identifiers 1

IdentifierTypeStateIssuer
059586MedicaidAZ

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1468281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468281600000",
    "number": "1487006698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16454 S 29TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850488559",
            "telephone_number": "480-889-4636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16454 S 29TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850488559",
            "telephone_number": "480-889-4636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTBEAT SPEECH THERAPY L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-12",
        "last_updated": "2016-07-12",
        "status": "A",
        "authorized_official_last_name": "YONTZ",
        "authorized_official_first_name": "JIM",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "SPEECH PATHOLOGIST",
        "authorized_official_telephone_number": "480-889-4636",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "AZ",
            "license": "SLP0687",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "059586",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2016; 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.