NPIMap

Organization Active NPI

Jackson Jade & Associates, a Speech Pathology Corporation

Doing business as Jackson Jade Speech, Occupational & Physical Therapy

  • Speech-Language Pathologist
  • Franklin, TN
National Provider Identifier
1639305014
Registry record updated Jan 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
JACKSON JADE & ASSOCIATES, A SPEECH PATHOLOGY CORPORATION
Doing business as
Jackson Jade Speech, Occupational & Physical Therapy
Practice address
188 Front St Ste 116-126
Franklin, TN 37064-5078
Phone
(888) 808-7838
Fax
(866) 620-3943
NPI assigned
May 30, 2009
Last updated
Jan 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2025

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

Authorized official

Name
Renee Firby, MS CCC-SLPNPI 1154534600
Title
President
Phone
(888) 808-7838

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

188 Front St Ste 116-126
Franklin, TN 37064-5078

Mailing address

249 E Ocean Blvd Ste 400
Long Beach, CA 90802-4806
Phone (888) 808-7838

Other names 1

  • Jackson Jade Speech, Occupational & Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

249 E Ocean Blvd
Ste 400
Long Beach, CA 90802

249 E Ocean Blvd
Ste 440
Long Beach, CA 90802

3655 Torrance Blvd
#365
Torrance, CA 90503

Practitioners & affiliated clinicians

Practitioners 27

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 27

NPI Registry JSON

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

{
    "created_epoch": "1243641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737676800000",
    "number": "1639305014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 E OCEAN BLVD STE 400",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908024806",
            "telephone_number": "888-808-7838",
            "fax_number": "866-620-3943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 FRONT ST STE 116-126",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370645078",
            "telephone_number": "888-808-7838",
            "fax_number": "866-620-3943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON JADE & ASSOCIATES, A SPEECH PATHOLOGY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-30",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A",
        "authorized_official_last_name": "FIRBY",
        "authorized_official_first_name": "RENEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "888-808-7838",
        "authorized_official_credential": "MS CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jackson Jade Speech, Occupational & Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Franklin, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2025; 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.