NPIMap

Organization Active NPI

Eastern Arizona Therapy Services, LLC

  • Speech-Language Pathologist
  • Gilbert, AZ
National Provider Identifier
1669732319
Registry record updated May 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP6025 Issued in AZ
Legal business name
EASTERN ARIZONA THERAPY SERVICES, LLC
Practice address
4247 E Baylor LN
Gilbert, AZ 85296-9688
Phone
(928) 606-7938
NPI assigned
May 29, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2012

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

Authorized official

Name
Amy Sorensen, M.S., CCC-SLP
Title
Owner
Phone
(928) 606-7938

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X SLP6025 AZ Primary

Addresses

Primary practice location

4247 E Baylor LN
Gilbert, AZ 85296-9688

Mailing address

4247 E Baylor LN
Gilbert, AZ 85296-9688
Phone (928) 606-7938

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1338249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338249600000",
    "number": "1669732319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4247 E BAYLOR LN",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852969688",
            "telephone_number": "928-606-7938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4247 E BAYLOR LN",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852969688",
            "telephone_number": "928-606-7938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN ARIZONA THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-29",
        "last_updated": "2012-05-29",
        "status": "A",
        "authorized_official_last_name": "SORENSEN",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-606-7938",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP6025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2012; 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.