Nantucket Therapy LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

8082 Issued in MA

Legal business name

NANTUCKET THERAPY LLC

Practice address

125 Orange St
Nantucket, MA 02554-4028

Phone

(508) 648-8348

NPI assigned

Feb 6, 2015

Organization subpart

No

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

Authorized official

Name

Carrie Keyes, MA, CCC-SLP

Title

Owner/Director

Phone

(508) 648-8348

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Nantucket Therapy SLP Other name

Tax ID family

Nantucket Therapy LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Nantucket Therapy LLC

  • Occupational Therapist
  • Nantucket, MA
  • NPI 1114301264
  NPD tax ID

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

{
    "created_epoch": "1423180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423180800000",
    "number": "1699166033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 ORANGE ST",
            "city": "NANTUCKET",
            "state": "MA",
            "postal_code": "025544028",
            "telephone_number": "508-648-8348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 ORANGE ST",
            "city": "NANTUCKET",
            "state": "MA",
            "postal_code": "025544028",
            "telephone_number": "508-648-8348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANTUCKET THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-06",
        "last_updated": "2015-02-06",
        "status": "A",
        "authorized_official_last_name": "KEYES",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "508-648-8348",
        "authorized_official_credential": "MA, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "8082",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "0031240",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nantucket Therapy SLP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Nantucket Ophthalmology LLC
• Nantucket Oral Surgery PLLC
• Nantucket Physicians Organization
• Nantucket Plastic Surgery PC
• Nantucket Therapy LLC
• Nantucket Therapy, LLC
• Heather Anne Nardone
• Arniel Nevins
• Cara Elizabeth Nielsen, OTR
• Jaclyn Joyce Normand, B.A., MSW INTERN

• Speech-Language Pathologist in Nantucket, MA
• Providers in Nantucket, MA by specialty
• Speech-Language Pathologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2015; 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.