Active NPI
Baseline Therapy, LLC
- Speech-Language Pathologist
- Oak Ridge, TN
National Provider Identifier
1619663184
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- BASELINE THERAPY, LLC
- Practice address
- 107 N Seneca Rd
Oak Ridge, TN 37830-8406 - Phone
- (443) 643-6477
- NPI assigned
- Apr 17, 2023
- 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
- Kelly Manning, M.S., CCC-SLP
- Title
- Owner/SLP
- Phone
- (443) 643-6477
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
107 N Seneca Rd
Oak Ridge, TN 37830-8406
Mailing address
107 N Seneca Rd
Oak Ridge, TN 37830-8406
Phone (443) 643-6477
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
- Oak Ridge, TN
- NPI 1649754896
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681689600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1681689600000",
"number": "1619663184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 N SENECA RD",
"city": "OAK RIDGE",
"state": "TN",
"postal_code": "378308406",
"telephone_number": "443-643-6477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 N SENECA RD",
"city": "OAK RIDGE",
"state": "TN",
"postal_code": "378308406",
"telephone_number": "443-643-6477"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BASELINE THERAPY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-04-17",
"last_updated": "2023-04-17",
"certification_date": "2023-04-17",
"status": "A",
"authorized_official_last_name": "MANNING",
"authorized_official_first_name": "KELLY",
"authorized_official_title_or_position": "OWNER/SLP",
"authorized_official_telephone_number": "443-643-6477",
"authorized_official_credential": "M.S., CCC-SLP"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oak Ridge, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.