Active NPI
Smith Ranch Therapy Services
- Speech-Language Pathologist
- Mesa, AZ
National Provider Identifier
1548588106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP5975
- Legal business name
- SMITH RANCH THERAPY SERVICES
- Practice address
- 5311 E Hopi Ave
Mesa, AZ 85206-5528 - Phone
- (480) 528-9435
- Fax
- (480) 307-9143
- NPI assigned
- May 6, 2010
- Last updated
- May 6, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Lynette Smith, MS., CCC-SLP
- Title
- Ceo
- Phone
- (480) 528-9435
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | AZ | ||
| Occupational Therapist | 225X00000X | AZ | ||
| Speech-Language Pathologist | 235Z00000X | SLP5975 | AZ | Primary |
Addresses
Primary practice location
5311 E Hopi Ave
Mesa, AZ 85206-5528
Mailing address
5311 E Hopi Ave
Mesa, AZ 85206-5528
Phone (480) 528-9435
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Speech-Language Pathologist
- Fountain Hills, AZ
- NPI 1134376718
-
- Speech-Language Assistant
- Overgaard, AZ
- NPI 1891330312
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273104000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1273104000000",
"number": "1548588106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5311 E HOPI AVE",
"city": "MESA",
"state": "AZ",
"postal_code": "852065528",
"telephone_number": "480-528-9435",
"fax_number": "480-307-9143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5311 E HOPI AVE",
"city": "MESA",
"state": "AZ",
"postal_code": "852065528",
"telephone_number": "480-528-9435",
"fax_number": "480-307-9143"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SMITH RANCH THERAPY SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2010-05-06",
"last_updated": "2010-05-06",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "LYNETTE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "480-528-9435",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MS., CCC-SLP"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AZ",
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AZ",
"license": "SLP5975",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.