Brandhorst Speech Therapy
Organization Active NPI Speech-Language Pathologist · Hiawatha, IA
NPI 1720580475 · NPPES record last updated Feb 23, 2023
Key facts
- NPI
- 1720580475
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- Legal business name
- BRANDHORST SPEECH THERAPY
- Practice address
- 1355 Sherman Rd Ste 501
Hiawatha, IA 52233-1208 - Phone
- (319) 350-5468
- Fax
- (319) 483-6604
- NPI assigned
- Mar 7, 2018
- Organization subpart
- No
Authorized official
- Name
- Lindsey Erin Brandhorst, MA, CCC-SLP
- Title
- Owner
- Phone
- (319) 350-5468
Practitioners 5
-
Lindsey Brandhorst, M.A., CCC-SLP
-
Kelly Jean Martin, M.A. CCC-SLP
-
Tracie Irlbeck Barlow, OTRL
-
Jennifer L Hoeger, MA CCC-SLP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20181010002038 | IA | Part B Supplier - Clinic/Group Practice | 7214289750 |
Receives reassigned benefits from 2 practitioners Practice locations: Hiawatha, IA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | |||
| Occupational Therapist |
225X00000X | |||
| Speech-Language Pathologist |
235Z00000X | Yes |
Addresses
Primary practice location
1355 Sherman Rd Ste 501
Hiawatha, IA 52233-1208
Mailing address
1355 Sherman Rd Ste 501
Hiawatha, IA 52233-1208
Phone (319) 350-5468
Other names
- Brandhorst Specialized Therapy
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 23, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.