Organization Active NPI

Old City Speech Therapy LLC

  • Speech-Language Pathologist
  • Philadelphia, PA
National Provider Identifier
1487328498
Registry record updated Aug 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
OLD CITY SPEECH THERAPY LLC
Practice address
3 N Columbus Blvd Apt Md312
Philadelphia, PA 19106-1440
Phone
(315) 767-1523
NPI assigned
Aug 3, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2021

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

Authorized official

Name
Molly O'Connor, M.S., CCC-SLPNPI 1598439598
Title
Speech Language Pathologist
Phone
(267) 603-3435

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

3 N Columbus Blvd Apt Md312
Philadelphia, PA 19106-1440

Mailing address

3 N Columbus Blvd Apt Md312
Philadelphia, PA 19106-1440
Phone (315) 767-1523

Other identifiers 1

IdentifierTypeStateIssuer
XXXXXXXXXXMedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address molly@oldcityspeech.com

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": "1627948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627948800000",
    "number": "1487328498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 N COLUMBUS BLVD APT MD312",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191061440",
            "telephone_number": "315-767-1523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 N COLUMBUS BLVD APT MD312",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191061440",
            "telephone_number": "315-767-1523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLD CITY SPEECH THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-03",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A",
        "authorized_official_last_name": "O'CONNOR",
        "authorized_official_first_name": "MOLLY",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "267-603-3435",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "XXXXXXXXXX",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "molly@oldcityspeech.com",
            "affiliation": "N",
            "address_1": "3 N Columbus Blvd Apt Md312",
            "city": "Philadelphia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "191061440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

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