Individual provider Active NPI

Laura Thorburn, MA CCC SLP

  • Speech-Language Pathologist
  • Los Angeles, CA
National Provider Identifier
1639346281
Registry record updated Jan 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP10088 Issued in CA
Practice address
11938 Goshen Ave
Apt 9
Los Angeles, CA 90049-6320
Phone
(310) 712-1281
NPI assigned
May 13, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP.14232 OH
Speech-Language Pathologist 235Z00000X SP10088 CA Primary
Speech-Language Pathologist 235Z00000X SA18396 FL

Addresses

Primary practice location

11938 Goshen Ave
Apt 9
Los Angeles, CA 90049-6320

Mailing address

11938 Goshen Ave
Apt 9
Los Angeles, CA 90049-6320
Phone (310) 712-1281

Other practice location 1

111 N Orange Ave Ste 800
Orlando, FL 32801-2381
Phone (512) 399-0064

Other practice location 2

633 W 5th St Ofc 2876B
Los Angeles, CA 90071-2005
Phone (512) 399-0064

Other practice location 3

300 E Business Way Ste 200
Cincinnati, OH 45241-2389
Phone (512) 399-0064

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, FL, OH3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20200716001950 CA Practitioner - Qualified Speech Language Pathologist 8628492113 Reassigns benefits to 1 organization
Practice locations: Los Angeles, CA
I20221007000347 FL Practitioner - Qualified Speech Language Pathologist 8628492113 Reassigns benefits to 1 organization
I20230213001926 OH Practitioner - Qualified Speech Language Pathologist 8628492113 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Expressable Speech-Language Pathology PCGroup PAC ID 4688074511, 115 clinicians

Practice addresses (Care Compare)

111 N Orange Ave
Suite 800
Orlando, FL 32801-2381
Phone (512) 399-0064

300 E Business Way
Suite 200
Cincinnati, OH 45241-2389
Phone (512) 399-0064

633 W 5TH St
Ofc 2876B
Los Angeles, CA 90071-2005
Phone (512) 399-0064

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
10088CAMDMassage Therapist
SP10088CAMDSpeech-Language Pathologist
SA18396FLMDSpeech-Language Pathologist
SP.14232OHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Expressable Speech-Language Pathology, P.C. Speech-Language Pathologist CurrentSince Nov 1, 2021 Accepting new patients

Locations

633 W 5th St
Ste 2876B
Los Angeles, CA 90071

633 W 5th St
Ofc 2876B
Los Angeles, CA 90071

4720 Salisbury Rd
Jacksonville, FL 32256
Phone (866) 932-2777

111 N Orange Ave
Ste 800
Orlando, FL 32801
Phone (212) 287-4257

300 E Business Way
Cincinnati, OH 45241
Phone (513) 349-1014

100 E Campus View Blvd
Ste 250
Columbus, OH 43235
Phone (267) 817-8902

300 E Business Way
Ste 200
Sharonville, OH 45241
Phone (513) 224-3597

Organizations & group practices 1

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": "1210636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674604800000",
    "number": "1639346281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11938 GOSHEN AVE",
            "address_2": "APT 9",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900496320",
            "telephone_number": "310-712-1281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11938 GOSHEN AVE",
            "address_2": "APT 9",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900496320",
            "telephone_number": "310-712-1281"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 N Orange Ave Ste 800",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328012381",
            "country_code": "US",
            "telephone_number": "512-399-0064",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "633 W 5th St Ofc 2876B",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900712005",
            "country_code": "US",
            "telephone_number": "512-399-0064",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 E Business Way Ste 200",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452412389",
            "country_code": "US",
            "telephone_number": "512-399-0064",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THORBURN",
        "first_name": "LAURA",
        "name_prefix": "Ms.",
        "credential": "MA CCC SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-13",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP.14232",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP10088",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA18396",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.