Progressive Pathways, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

7101001522 Issued in MI

Legal business name

PROGRESSIVE PATHWAYS, LLC

Practice address

41850 W 11 Mile Rd
Novi, MI 48375-1819

Phone

(248) 514-4474

NPI assigned

Jan 9, 2017

Last updated

Jun 29, 2023By 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

Mrs. Kristy Jean BaranikNPI 1366712598

Title

Speech-Language Pathologist / Owner

Phone

(248) 514-4474

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 8

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.

• Kristy Jean Baranik, MA, CCC-SLP

  • Speech-Language Pathologist
  • Novi, MI
  • NPI 1366712598
  Medicare reassignment Authorized official
• Stephanie Wells

  • Speech-Language Pathologist
  • Plymouth, MI
  • NPI 1851751762
  Medicare reassignment
• Mary Archer, MS, OTR/L

  • Pediatric Occupational Therapist
  • Novi, MI
  • NPI 1114371663
  NPD
• Catherine Joanne Breuker

  • Speech-Language Pathologist
  • Novi, MI
  • NPI 1760241640
  NPD
• Elizabeth Engelsen

  • Occupational Therapist
  • Novi, MI
  • NPI 1578010708
  NPD
• Tamara Watson Nordbeck, B.S., MPT

  • Physical Therapist
  • Novi, MI
  • NPI 1760843296
  NPD
• Candace Peterson, MS, OTRL

  • Pediatric Occupational Therapist
  • Plymouth, MI
  • NPI 1124421771
  NPD
• Melissa Dochych, MOT, OTR/L

  • Pediatric Occupational Therapist
  • Novi, MI
  • NPI 1447653068
  NPD (past)

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

{
    "created_epoch": "1483920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687996800000",
    "number": "1629514054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28316 HUMMINGDALE CIR",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483771997",
            "telephone_number": "248-514-4474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41850 W 11 MILE RD",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483751819",
            "telephone_number": "248-514-4474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE PATHWAYS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-09",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A",
        "authorized_official_last_name": "BARANIK",
        "authorized_official_first_name": "KRISTY",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST / OWNER",
        "authorized_official_telephone_number": "248-514-4474",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101001522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Novi, MI
• Providers in Novi, MI by specialty
• Speech-Language Pathologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; 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.