NPIMap

Organization Active NPI

Virtual Therapy Room, PLLC

  • Home Health Agency
  • Mesa, AZ
National Provider Identifier
1598919086
Registry record updated Nov 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
SLP4236 Issued in AZ
Legal business name
VIRTUAL THERAPY ROOM, PLLC
Practice address
5656 E Harmony Ave
Mesa, AZ 85206-6762
Phone
(480) 659-0536
NPI assigned
Nov 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2008

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

Authorized official

Name
Shannon Michelle Watkins, MS, CCC-SLPNPI 1720107436
Title
Owner
Phone
(480) 659-0536

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
Home Health Agency 251E00000X SLP4236 AZ Primary

Addresses

Primary practice location

5656 E Harmony Ave
Mesa, AZ 85206-6762

Mailing address

5656 E Harmony Ave
Mesa, AZ 85206-6762
Phone (480) 659-0536

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1226275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226275200000",
    "number": "1598919086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5656 E HARMONY AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852066762",
            "telephone_number": "480-659-0536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5656 E HARMONY AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852066762",
            "telephone_number": "480-659-0536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRTUAL THERAPY ROOM, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-10",
        "last_updated": "2008-11-10",
        "status": "A",
        "authorized_official_last_name": "WATKINS",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-659-0536",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AZ",
            "license": "SLP4236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.