NPIMap

Organization Active NPI

Backyard SLP, LLC

  • Speech-Language Pathologist
  • Waltham, MA
National Provider Identifier
1538748439
Registry record updated Apr 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
BACKYARD SLP, LLC
Practice address
226 Beal Rd
Waltham, MA 02453-6771
Phone
(617) 285-9707
NPI assigned
Apr 7, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2021

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

Authorized official

Name
Allison Smith, M.A. CCC-SLPNPI 1801077656
Title
Speech-Language Pathologist
Phone
(617) 285-9707

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

226 Beal Rd
Waltham, MA 02453-6771

Mailing address

226 Beal Rd
Waltham, MA 02453-6771
Phone (617) 285-9707

Electronic endpoints 2

TypeEndpointUseAffiliation
SOAP URL BackyardSLP
SOAP URL BackyardSLP

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": "1617753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617753600000",
    "number": "1538748439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 BEAL RD",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024536771",
            "telephone_number": "617-285-9707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 BEAL RD",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024536771",
            "telephone_number": "617-285-9707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACKYARD SLP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-07",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "617-285-9707",
        "authorized_official_credential": "M.A. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "BackyardSLP",
            "affiliation": "N",
            "endpointDescription": "Private Speech Therapy",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "226 Beal Rd",
            "city": "Waltham",
            "state": "MA",
            "country_code": "US",
            "postal_code": "024536771",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "BackyardSLP",
            "affiliation": "N",
            "endpointDescription": "Private Speech Therapy",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "226 Beal Rd",
            "city": "Waltham",
            "state": "MA",
            "country_code": "US",
            "postal_code": "024536771",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Waltham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.