Organization Active NPI

Sprout Therapy Services

Doing business as Sprout Therapy Co.

  • Speech-Language Pathologist
  • Quincy, IL
National Provider Identifier
1689568057
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
SPROUT THERAPY SERVICES
Doing business as
Sprout Therapy Co.
Practice address
2001 Jefferson St Ste 127
Quincy, IL 62301-5654
Phone
(309) 431-1817
NPI assigned
Jun 9, 2025
Last updated
Jun 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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

Authorized official

Name
Jenna DietrichNPI 1316725450
Title
Co-Owner, Speech-Language Pathologi
Phone
(217) 440-0898

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
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

2001 Jefferson St Ste 127
Quincy, IL 62301-5654

Mailing address

2001 Jefferson St Ste 127
Quincy, IL 62301-5654
Phone (309) 431-1817

Other names 1

  • Sprout Therapy Co. Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1749427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781568000000",
    "number": "1689568057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 JEFFERSON ST STE 127",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623015654",
            "telephone_number": "309-431-1817",
            "fax_number": "309-406-6568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 JEFFERSON ST STE 127",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623015654",
            "telephone_number": "309-431-1817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPROUT THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-09",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A",
        "authorized_official_last_name": "DIETRICH",
        "authorized_official_first_name": "JENNA",
        "authorized_official_title_or_position": "CO-OWNER, SPEECH-LANGUAGE PATHOLOGI",
        "authorized_official_telephone_number": "217-440-0898"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sprout Therapy Co.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Quincy, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2026; 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.