Individual provider Active NPI

Jordan Yeater, SLP

  • Speech-Language Pathologist
  • Ontario, OH
National Provider Identifier
1609549286
Registry record updated May 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
478927 Issued in OH
Practice address
890 W 4TH St
Ontario, OH 44906-2565
Phone
(419) 774-5520
NPI assigned
Jul 29, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 478927 OH Primary

Addresses

Primary practice location

890 W 4TH St
Ontario, OH 44906-2565

Mailing address

890 W 4TH St
Ontario, OH 44906-2565
Phone (419) 774-5520

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
478927OHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ej Therapy, Inc. CurrentSince Jun 23, 2025 Accepting new patients
Ej Therapy, Inc. CurrentSince Jun 8, 2025 Accepting new patients

Locations

2714 Akron Rd
Wooster, OH 44691
Phone (330) 262-4449

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1627516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779408000000",
    "number": "1609549286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "890 W 4TH ST",
            "city": "ONTARIO",
            "state": "OH",
            "postal_code": "449062565",
            "telephone_number": "419-774-5520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 W 4TH ST",
            "city": "ONTARIO",
            "state": "OH",
            "postal_code": "449062565",
            "telephone_number": "419-774-5520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEATER",
        "first_name": "JORDAN",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-29",
        "last_updated": "2026-05-22",
        "certification_date": "2026-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "478927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ontario, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2026; 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.