Taco Teletherapy

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

TACO TELETHERAPY

Practice address

3210 Juniper Cir, Unit a
Saint Paul, MN 55125

Phone

(612) 643-1659

NPI assigned

Jul 16, 2021

Organization subpart

No

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

Authorized official

Name

Tessa Balsiger, MA CCC-SLPNPI 1184296287

Title

Speech Language Pathologist

Phone

(612) 643-1659

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tessa Balsiger, MA CCC-SLP

  • Speech-Language Pathologist
  • Saint Paul, MN
  • NPI 1184296287
  NPD Authorized official

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

{
    "created_epoch": "1626393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626393600000",
    "number": "1528630647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3210 JUNIPER CIR, UNIT A",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "55125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3210 JUNIPER CIR, UNIT A",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "55125",
            "telephone_number": "612-643-1659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TACO TELETHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-16",
        "last_updated": "2021-07-16",
        "certification_date": "2021-07-16",
        "status": "A",
        "authorized_official_last_name": "BALSIGER",
        "authorized_official_first_name": "TESSA",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "612-643-1659",
        "authorized_official_credential": "MA CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robyn Samira Tabibi, MD
• Leila Tabibian, MD
• Andrew Jared Tacheny, MD
• Stephanie Elizabeth Tack, PSYD, LP
• Kayla Marie Tackmann, DPT
• Hiwot Taddese
• Elias Mulugeta Taddesse
• Bissie Alemayehu Tadesse
• Michael Tadros, RN
• Kimberly Tafaro

• Speech-Language Pathologist in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Speech-Language Pathologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.