NPIMap

Organization Active NPI

Urban Speech & Occupational Therapy

  • Speech-Language Pathologist
  • Eden Prairie, MN
National Provider Identifier
1689305740
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
URBAN SPEECH & OCCUPATIONAL THERAPY
Practice address
6409 City West Pkwy Ste 206
Eden Prairie, MN 55344-7846
Phone
(952) 500-8871
Fax
(612) 778-1588
NPI assigned
Jun 20, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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

Authorized official

Name
Julie Urban, M.S. CCC-SLPNPI 1114385689
Title
Owner/Speech-Language Pathologist
Phone
(952) 500-8871

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

6409 City West Pkwy Ste 206
Eden Prairie, MN 55344-7846

Mailing address

6409 City West Pkwy Ste 206
Eden Prairie, MN 55344-7846
Phone (952) 500-8871

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240920001292 MN Part B Supplier - Clinic/Group Practice 6002357845 Receives reassigned benefits from 10 practitioners
Practice locations: Eden Prairie, MN

National Provider Directory

National Provider Directory

Locations

6409 City West Pkwy
Ste 206
Eden Prairie, MN 55344
Phone (952) 230-8173

Practitioners & affiliated clinicians

Practitioners 12

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

NPI Registry JSON

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

{
    "created_epoch": "1655683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721865600000",
    "number": "1689305740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6409 CITY WEST PKWY STE 206",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553447846",
            "telephone_number": "952-500-8871",
            "fax_number": "612-778-1588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6409 CITY WEST PKWY STE 206",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553447846",
            "telephone_number": "952-500-8871",
            "fax_number": "612-778-1588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URBAN SPEECH & OCCUPATIONAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-20",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A",
        "authorized_official_last_name": "URBAN",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "OWNER/SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "952-500-8871",
        "authorized_official_credential": "M.S. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eden Prairie, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.