Organization Active NPI

Intown Speech Therapy, LLC

  • Hearing and Speech Clinic/Center
  • Brookhaven, GA
National Provider Identifier
1649041203
Registry record updated Jan 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
Legal business name
INTOWN SPEECH THERAPY, LLC
Practice address
4420 Peachtree Rd NE Apt 1207
Brookhaven, GA 30319-2702
Phone
(251) 533-3944
NPI assigned
Jan 12, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2024

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

Authorized official

Name
Emma Fontenot
Title
Owner
Phone
(251) 533-3944

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X Primary

Addresses

Primary practice location

4420 Peachtree Rd NE Apt 1207
Brookhaven, GA 30319-2702

Mailing address

4420 Peachtree Rd NE Apt 1207
Brookhaven, GA 30319-2702
Phone (251) 533-3944

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1705017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705017600000",
    "number": "1649041203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4420 PEACHTREE RD NE APT 1207",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "303192702",
            "telephone_number": "251-533-3944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4420 PEACHTREE RD NE APT 1207",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "303192702",
            "telephone_number": "251-533-3944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTOWN SPEECH THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-12",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A",
        "authorized_official_last_name": "FONTENOT",
        "authorized_official_first_name": "EMMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "251-533-3944"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookhaven, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; 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.