NPIMap

Organization Active NPI

MMG Speech & Therapeutic Services, LLC

  • Speech-Language Pathologist
  • Lakewood, WA
National Provider Identifier
1679940886
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
603379234 Issued in WA
Legal business name
MMG SPEECH & THERAPEUTIC SERVICES, LLC
Practice address
9881 Bridgeport Way SW
Lakewood, WA 98499-6124
Phone
(253) 753-4008
Fax
(253) 276-0067
NPI assigned
Aug 24, 2015
Last updated
Oct 14, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

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

Authorized official

Name
Michele Marie GreggNPI 1275893919
Title
Owner
Phone
(253) 753-4008

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X
Speech-Language Pathologist 235Z00000X
Speech-Language Pathologist 235Z00000X 603379234 WA Primary

Addresses

Primary practice location

9881 Bridgeport Way SW
Lakewood, WA 98499-6124

Mailing address

9881 Bridgeport Way SW
Lakewood, WA 98499-6124
Phone (253) 753-4008

Other names 1

  • MMG Speech & Language Therapy, LLC Former legal business name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL mmgtherapy.com

National Provider Directory

National Provider Directory

Locations

8907 Gravelly Lake Dr SW
Ste B
Lakewood, WA 98499

9881 Bridgeport Way SW
Lakewood, WA 98499
Phone (253) 589-1611

Practitioners & affiliated clinicians

Practitioners 24

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.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1440374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728864000000",
    "number": "1679940886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9881 BRIDGEPORT WAY SW",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984996124",
            "telephone_number": "253-753-4008",
            "fax_number": "253-276-0067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9881 BRIDGEPORT WAY SW",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984996124",
            "telephone_number": "253-753-4008",
            "fax_number": "253-276-0067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MMG SPEECH & THERAPEUTIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-24",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A",
        "authorized_official_last_name": "GREGG",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-753-4008"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "603379234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "mmgtherapy.com",
            "affiliation": "N",
            "address_1": "9881 Bridgeport Way SW",
            "city": "Lakewood",
            "state": "WA",
            "country_code": "US",
            "postal_code": "984996124",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "MMG Speech & Language Therapy, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Lakewood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; 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.