NPIMap

Organization Active NPI

Therapy Associates Inc

  • Speech-Language Pathologist
  • Isanti, MN
National Provider Identifier
1558418012
Registry record updated Sep 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
367209 Issued in MN
Legal business name
THERAPY ASSOCIATES INC
Practice address
904 6TH Ave CT. NE
Isanti, MN 55040-3208
Phone
(763) 444-8700
Fax
(763) 434-0192
NPI assigned
Jan 5, 2007
Last updated
Sep 8, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2021

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

Authorized official

Name
Ms. Naomi May Plemon, CCC-SLPNPI 1467504571
Title
President. Therapy Associates
Phone
(763) 444-8700

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)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X
Speech-Language Pathologist 235Z00000X 367209 MN Primary
Speech-Language Pathologist 235Z00000X MN

Addresses

Primary practice location

904 6TH Ave CT. NE
Isanti, MN 55040-3208

Mailing address

904 6TH Ave CT. NE
Isanti, MN 55040-3208
Phone (763) 444-8700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150617002736 MN Part B Supplier - Clinic/Group Practice 5496066425 Receives reassigned benefits from 11 practitioners
Practice locations: Isanti, MN

National Provider Directory

National Provider Directory
Tax ID family
Therapy Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2 Enterprise Ave NE
Ste C1
Isanti, MN 55040
Phone (763) 444-8700

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631059200000",
    "number": "1558418012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 6TH AVE CT. NE",
            "city": "ISANTI",
            "state": "MN",
            "postal_code": "550403208",
            "telephone_number": "763-444-8700",
            "fax_number": "763-434-0192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 6TH AVE CT. NE",
            "city": "ISANTI",
            "state": "MN",
            "postal_code": "550403208",
            "telephone_number": "763-444-8700",
            "fax_number": "763-434-0192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPY ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A",
        "authorized_official_last_name": "PLEMON",
        "authorized_official_first_name": "NAOMI",
        "authorized_official_middle_name": "MAY",
        "authorized_official_title_or_position": "PRESIDENT. THERAPY ASSOCIATES",
        "authorized_official_telephone_number": "763-444-8700",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "367209",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Isanti, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.