Therapedia, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP004108 Issued in GA

Legal business name

THERAPEDIA, LLC

Practice address

1432 Penhurst Dr
Lawrenceville, GA 30043-8165

Phone

(678) 830-6632

NPI assigned

Jul 20, 2018

Organization subpart

No

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

Authorized official

Name

Ms. Ebony JasperNPI 1922508050

Title

Speech-Language Pathologist

Phone

(678) 830-6632

Specialties & licenses 1

Addresses

Other names 1

• Therapedia, LLC Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ebony L. Jasper

  • Speech-Language Pathologist
  • Lawrenceville, GA
  • NPI 1922508050
  NPD (past) Authorized official

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

{
    "created_epoch": "1532044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532044800000",
    "number": "1669959847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1432 PENHURST DR",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300438165",
            "telephone_number": "678-830-6632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1432 PENHURST DR",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300438165",
            "telephone_number": "678-830-6632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPEDIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-20",
        "last_updated": "2018-07-20",
        "status": "A",
        "authorized_official_last_name": "JASPER",
        "authorized_official_first_name": "EBONY",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "678-830-6632",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP004108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Therapedia, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Speech-Language Pathologist in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2018; 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.