Blue Sea Therapy, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

BLUE SEA THERAPY, LLC

Doing business as

Blue Sea Speech Therapy

Practice address

62 Emerald Rd
Rutland, MA 01543-1536

Phone

(413) 537-3407

NPI assigned

May 20, 2024

Last updated

May 20, 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

Nicole Sophia St. Amand, SLPNPI 1124684022

Title

Owner

Phone

(508) 887-2747

Specialties & licenses 1

Addresses

Other names 1

• Blue Sea Speech Therapy Doing business as

Practitioners 2

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.

• Nicole Sophia St. Amand, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Rutland, MA
  • NPI 1124684022

  Single Specialty

  NPD (past) Authorized official
• Candace Brunette Sargent, SLP

  • Speech-Language Pathologist
  • West Boylston, MA
  • NPI 1386329746
  NPD

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

{
    "created_epoch": "1716163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716163200000",
    "number": "1598504797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 EMERALD RD",
            "city": "RUTLAND",
            "state": "MA",
            "postal_code": "015431536",
            "telephone_number": "413-537-3407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 EMERALD RD",
            "city": "RUTLAND",
            "state": "MA",
            "postal_code": "015431536",
            "telephone_number": "413-537-3407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE SEA THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-20",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A",
        "authorized_official_last_name": "ST. AMAND",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "SOPHIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-887-2747",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blue Sea Speech Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Speech-Language Pathologist in Rutland, MA
• Providers in Rutland, MA by specialty
• Speech-Language Pathologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.