NPIMap

Organization Active NPI

Progressive Speech Language Pathology, LLC

  • Speech-Language Pathologist
  • Phoenix, AZ
National Provider Identifier
1558728956
Registry record updated Jan 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP8080 Issued in AZ
Legal business name
PROGRESSIVE SPEECH LANGUAGE PATHOLOGY, LLC
Practice address
5125 N 40TH St Apt F126
Phoenix, AZ 85018-9132
Phone
(623) 340-4104
NPI assigned
Jan 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2016

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

Authorized official

Name
Julie Marie Casady, M.S., CCC-SLPNPI 1780041152
Title
Speech Language Pathologist
Phone
(623) 340-4104

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 SLP8080 AZ Primary

Addresses

Primary practice location

5125 N 40TH St Apt F126
Phoenix, AZ 85018-9132

Mailing address

5125 N 40TH St Apt F126
Phoenix, AZ 85018-9132
Phone (623) 340-4104

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": "1452816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452816000000",
    "number": "1558728956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5125 N 40TH ST APT F126",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850189132",
            "telephone_number": "623-340-4104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5125 N 40TH ST APT F126",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850189132",
            "telephone_number": "623-340-4104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE SPEECH LANGUAGE PATHOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-15",
        "last_updated": "2016-01-15",
        "status": "A",
        "authorized_official_last_name": "CASADY",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "623-340-4104",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP8080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2016; 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.