Commonwealth Therapy Company LLC

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

COMMONWEALTH THERAPY COMPANY LLC

Practice address

820 S. Macarthur Blvd Ste 105 - 149
Coppell, TX 75019-1171

Phone

(703) 718-6603

NPI assigned

Feb 26, 2019

Last updated

Aug 12, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Maureen O'Doherty Di Vincenzo, SLPNPI 1134621220

Title

SLP/President

Phone

(541) 771-0163

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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.

• Maureen O'Doherty Di Vincenzo, MS CCC-SLP

  • Speech-Language Pathologist
  • Coppell, TX
  • NPI 1134621220
  NPD Authorized official

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

{
    "created_epoch": "1551139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723420800000",
    "number": "1568929511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 WELLINGTON RD",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750196705",
            "telephone_number": "703-718-6603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 S. MACARTHUR BLVD STE 105 - 149",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750191171",
            "telephone_number": "703-718-6603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMONWEALTH THERAPY COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-26",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A",
        "authorized_official_last_name": "DI VINCENZO",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_middle_name": "O'DOHERTY",
        "authorized_official_title_or_position": "SLP/PRESIDENT",
        "authorized_official_telephone_number": "541-771-0163",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Ruth Cohan
• Cory Coldwell, M.D.
• Brooke Coleman
• Allison Anne Collins, MA, LPC INTERN
• Kathy Anne Collins, M.S. CCC/SLP
• Samuel Brian Conerly
• Amanda Conklin
• Lauren Eilzabeth Conley
• Laila Connish, RBT
• Jon-Michael Cook, M.D.

• Early Intervention Provider Agency in Coppell, TX
• Providers in Coppell, TX by specialty
• Early Intervention Provider Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; 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.