NPIMap

Organization Active NPI

The Therapy Center LLC

  • Speech-Language Pathologist
  • Mahtomedi, MN
National Provider Identifier
1568699320
Registry record updated Jun 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
7207 Issued in MN
Legal business name
THE THERAPY CENTER LLC
Practice address
223 Shamrock Dr
Mahtomedi, MN 55115-1760
Phone
(612) 239-0707
Fax
(715) 549-9213
NPI assigned
Jun 18, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2009

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

Authorized official

Name
Lisa Marie Pietig, MS, CCC-SLPNPI 1417066630
Title
Speech Language Pathogist
Phone
(612) 239-0707

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 7207 MN Primary

Addresses

Primary practice location

223 Shamrock Dr
Mahtomedi, MN 55115-1760

Mailing address

223 Shamrock Dr
Mahtomedi, MN 55115-1760
Phone (612) 239-0707

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1245283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245283200000",
    "number": "1568699320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 SHAMROCK DR",
            "city": "MAHTOMEDI",
            "state": "MN",
            "postal_code": "551151760",
            "telephone_number": "612-239-0707",
            "fax_number": "715-549-9213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 SHAMROCK DR",
            "city": "MAHTOMEDI",
            "state": "MN",
            "postal_code": "551151760",
            "telephone_number": "612-239-0707",
            "fax_number": "715-549-9213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE THERAPY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-18",
        "last_updated": "2009-06-18",
        "status": "A",
        "authorized_official_last_name": "PIETIG",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOGIST",
        "authorized_official_telephone_number": "612-239-0707",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "7207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mahtomedi, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2009; 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.