Three Roads Therapy LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

THREE ROADS THERAPY LLC

Practice address

352 Stevenson St
Decatur, IN 46733-2349

Phone

(260) 517-3367

NPI assigned

Jan 30, 2023

Last updated

Jan 30, 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

Chelsea Burke, MS CCC-SLPNPI 1780052969

Title

Speech-Language Pathologist

Phone

(260) 517-3367

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Chelsea Burke

  • Speech-Language Pathologist
  • Fort Wayne, IN
  • NPI 1780052969
  NPD Authorized official

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

{
    "created_epoch": "1675036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675036800000",
    "number": "1669188082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "352 STEVENSON ST",
            "city": "DECATUR",
            "state": "IN",
            "postal_code": "467332349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "352 STEVENSON ST",
            "city": "DECATUR",
            "state": "IN",
            "postal_code": "467332349",
            "telephone_number": "260-517-3367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE ROADS THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-30",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-28",
        "status": "A",
        "authorized_official_last_name": "BURKE",
        "authorized_official_first_name": "CHELSEA",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "260-517-3367",
        "authorized_official_credential": "MS CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blake A Taylor, DDS
• Jennifer Elizabeth Taylor, DO
• Taylor Patrick Terveer
• Roger L Thompson
• Isabella Lorraine Thornsberry
• Kelly S Ulman, DDS
• Sabra Ann Vanauken
• Samantha Rose Vergara, NP
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-1647)
• Wal-Mart Stores East, LP (Vision Center 30-1647)

• Speech-Language Pathologist in Decatur, IN
• Providers in Decatur, IN by specialty
• Speech-Language Pathologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; 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.