Individual provider Active NPI

Jeffrey T Joyner, MSCCC, SLP

  • Speech-Language Pathologist
  • Kettering, OH
National Provider Identifier
1568533263
Registry record updated Aug 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP 3121 Issued in OH
Practice address
3122 Wilmington Pike
Kettering, OH 45429-4004
Phone
(937) 299-9337
Fax
(937) 299-9227
NPI assigned
Nov 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP 3121 OH Primary

Addresses

Primary practice location

3122 Wilmington Pike
Kettering, OH 45429-4004

Mailing address

3122 Wilmington Pike
Kettering, OH 45429-4004
Phone (937) 299-9337

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SP 3121OHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Therapy Associates, Inc. Past Accepting new patients
Midwest Therapy Associates, Inc. Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219708800000",
    "number": "1568533263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3122 WILMINGTON PIKE",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454294004",
            "telephone_number": "937-299-9337",
            "fax_number": "937-299-9227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3122 WILMINGTON PIKE",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454294004",
            "telephone_number": "937-299-9337",
            "fax_number": "937-299-9227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOYNER",
        "first_name": "JEFFREY",
        "middle_name": "T",
        "credential": "MSCCC, SLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2008-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP 3121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kettering, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2008; 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.