Organization Active NPI

Affinity Therapy LLC

  • Hearing and Speech Clinic/Center
  • Portland, TN
National Provider Identifier
1669294195
Registry record updated Jan 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
Legal business name
AFFINITY THERAPY LLC
Practice address
705 S Broadway St # 1011
Portland, TN 37148-1628
Phone
(615) 953-0390
NPI assigned
Oct 28, 2024
Last updated
Jan 5, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2025

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

Authorized official

Name
Marina CoakleyNPI 1841816089
Title
SLP
Phone
(615) 953-0390

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

705 S Broadway St # 1011
Portland, TN 37148-1628

Mailing address

2443 Highway 41 S Unit 104
Greenbrier, TN 37073-4540

National Provider Directory

National Provider Directory

Locations

2443 Highway 41 S
#B
Greenbrier, TN 37073
Phone (615) 953-0390

2443 Highway 41 S
Unit 104
Greenbrier, TN 37073
Phone (615) 953-0390

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1730073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736035200000",
    "number": "1669294195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2443 HIGHWAY 41 S UNIT 104",
            "city": "GREENBRIER",
            "state": "TN",
            "postal_code": "370734540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 S BROADWAY ST # 1011",
            "city": "PORTLAND",
            "state": "TN",
            "postal_code": "371481628",
            "telephone_number": "615-953-0390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFINITY THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-28",
        "last_updated": "2025-01-05",
        "certification_date": "2025-01-05",
        "status": "A",
        "authorized_official_last_name": "COAKLEY",
        "authorized_official_first_name": "MARINA",
        "authorized_official_title_or_position": "SLP",
        "authorized_official_telephone_number": "615-953-0390"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2025; 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.