Active NPI
Grow Together Speech Therapy LLC
- Speech-Language Pathologist
- Fort Wayne, IN
National Provider Identifier
1578282265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- GROW TOGETHER SPEECH THERAPY LLC
- Practice address
- 5525 Oak Valley PL
Fort Wayne, IN 46845-1836 - Phone
- (260) 226-6135
- NPI assigned
- Aug 25, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Grace Vangessel, MA
- Title
- Speech-Language Pathologist
- Phone
- (260) 226-6135
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary | ||
| Hearing and Speech Clinic/Center | 261QH0700X |
Addresses
Primary practice location
5525 Oak Valley PL
Fort Wayne, IN 46845-1836
Mailing address
8810 Hunters Knoll Run
Fort Wayne, IN 46825-6413
Phone (260) 226-6135
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- Fort Wayne, IN
- NPI 1336708890
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661385600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1697155200000",
"number": "1578282265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8810 HUNTERS KNOLL RUN",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468256413",
"telephone_number": "260-226-6135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5525 OAK VALLEY PL",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468451836",
"telephone_number": "260-226-6135"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GROW TOGETHER SPEECH THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-08-25",
"last_updated": "2023-10-13",
"certification_date": "2023-10-13",
"status": "A",
"authorized_official_last_name": "VANGESSEL",
"authorized_official_first_name": "GRACE",
"authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
"authorized_official_telephone_number": "260-226-6135",
"authorized_official_credential": "MA"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QH0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, Hearing and Speech",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.