Adaptive Path Learning Collective
Organization Active NPI Multi-Specialty Clinic/Center · Georgetown, TX
NPI 1649035585 · NPPES record last updated Mar 1, 2024
Key facts
- NPI
- 1649035585
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Multi-Specialty Clinic/Center 261QM1300X
- Legal business name
- ADAPTIVE PATH LEARNING COLLECTIVE
- Practice address
- 404 Wolf Springs Rd
Georgetown, TX 78628-2736 - Phone
- (978) 328-8150
- NPI assigned
- Feb 20, 2024
- Organization subpart
- No
Authorized official
- Name
- Jenna Kellogg, M.S. CCC-SLP
- Title
- Co-Owner SLP
- Phone
- (978) 328-8150
Practitioners 2
-
Jenna Kellogg, M.S., CCC-SLP
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant |
224Z00000X | |||
| Occupational Therapist |
225X00000X | |||
| Speech-Language Assistant |
2355S0801X | |||
| Speech-Language Pathologist |
235Z00000X | |||
| Multi-Specialty Clinic/Center | 261QM1300X | Yes |
Addresses
Primary practice location
404 Wolf Springs Rd
Georgetown, TX 78628-2736
Mailing address
404 Wolf Springs Rd
Georgetown, TX 78628-2736
Phone (978) 328-8150
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578821328 | Other | SLP | |
| 1336904200 | Other | SLP |
Other providers in Georgetown, TX
- Adam M. Borah, MD, PLLC
- Monika Adamaszek
- Alexandra Adams
- Jayna Elise Adams
- Kristen Adams
- Nigel Andrew Adashefski
- Jewel Akoto Addo
- Eric A Adelman
- Harold F. Adelman
- Janet T Adeniji
All providers in Georgetown, TX · Multi-Specialty Clinic/Center in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 1, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.