NPIMap

Organization Active NPI

The Therapy Spot, LLC

Doing business as The Therapy SP/OT

  • Speech-Language Pathologist
  • Saint Paul, MN
National Provider Identifier
1619446382
Registry record updated Feb 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
THE THERAPY SPOT, LLC
Doing business as
The Therapy SP/OT
Practice address
1216 Selby Ave
Saint Paul, MN 55104-7516
Phone
(651) 698-1729
Fax
(855) 611-8594
NPI assigned
Nov 25, 2018
Last updated
Feb 24, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2021

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

Authorized official

Name
Mrs. Anne Gallatin Nelesen, MS CCC-SLPNPI 1326166588
Title
Owner, Speech Patholoigst
Phone
(651) 698-1729

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X NU
Occupational Therapist 225X00000X NU
Speech-Language Pathologist 235Z00000X NU Primary

Addresses

Primary practice location

1216 Selby Ave
Saint Paul, MN 55104-7516

Mailing address

1216 Selby Ave
Saint Paul, MN 55104-7516
Phone (651) 698-1729

Other names 1

  • The Therapy SP/OT Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191011002244 MN Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3577894146 Receives reassigned benefits from 5 practitioners
Practice locations: Saint Paul, MN

National Provider Directory

National Provider Directory

Locations

1216 Selby Ave
Saint Paul, MN 55104
Phone (651) 698-1729

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1543104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614124800000",
    "number": "1619446382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1216 SELBY AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551047516",
            "telephone_number": "651-698-1729",
            "fax_number": "855-611-8594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1216 SELBY AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551047516",
            "telephone_number": "651-698-1729",
            "fax_number": "855-611-8594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE THERAPY SPOT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-25",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A",
        "authorized_official_last_name": "NELESEN",
        "authorized_official_first_name": "ANNE",
        "authorized_official_middle_name": "GALLATIN",
        "authorized_official_title_or_position": "OWNER, SPEECH PATHOLOIGST",
        "authorized_official_telephone_number": "651-698-1729",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Therapy SP/OT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.