NPIMap

Organization Active NPI

Estrella Therapy Services

  • Home Health Agency
  • Goodyear, AZ
National Provider Identifier
1487823514
Registry record updated Feb 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
SLP5154 Issued in AZ
Legal business name
ESTRELLA THERAPY SERVICES
Practice address
18442 W Sweet Acacia Dr
Goodyear, AZ 85338-5296
Phone
(623) 256-6572
NPI assigned
Feb 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2008

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

Authorized official

Name
Jennifer Jo Severson, M.S. CCC-SLP
Title
Speech-Language Pathologist
Phone
(623) 256-6572

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X SLP5154 AZ Primary

Addresses

Primary practice location

18442 W Sweet Acacia Dr
Goodyear, AZ 85338-5296

Mailing address

18442 W Sweet Acacia Dr
Goodyear, AZ 85338-5296
Phone (623) 256-6572

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1203638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203638400000",
    "number": "1487823514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18442 W SWEET ACACIA DR",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853385296",
            "telephone_number": "623-256-6572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18442 W SWEET ACACIA DR",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853385296",
            "telephone_number": "623-256-6572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESTRELLA THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-22",
        "last_updated": "2008-02-22",
        "status": "A",
        "authorized_official_last_name": "SEVERSON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "623-256-6572",
        "authorized_official_credential": "M.S. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AZ",
            "license": "SLP5154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodyear, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2008; 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.