Ict Speech Therapy Services LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

ICT SPEECH THERAPY SERVICES LLC

Practice address

7570 W 21St St N
BLDG 1050, Ste D
Wichita, KS 67205-6720

Phone

(316) 409-9932

NPI assigned

Oct 7, 2022

Organization subpart

No

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

Authorized official

Name

Jeffery Tyler Millspaugh

Title

Owner

Phone

(316) 215-4719

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1665100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665100800000",
    "number": "1669197141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 N COVINGTON ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672126526",
            "telephone_number": "316-215-4719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7570 W 21ST ST N",
            "address_2": "BLDG 1050, STE D",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672056720",
            "telephone_number": "316-409-9932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICT SPEECH THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-07",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-03",
        "status": "A",
        "authorized_official_last_name": "MILLSPAUGH",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "TYLER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "316-215-4719"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Wichita, KS
• Providers in Wichita, KS by specialty
• Speech-Language Pathologist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2022; 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.