NPIMap

Organization Active NPI

Brandhorst Speech Therapy

Doing business as Brandhorst Specialized Therapy

  • Speech-Language Pathologist
  • Hiawatha, IA
National Provider Identifier
1720580475
Registry record updated Feb 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
BRANDHORST SPEECH THERAPY
Doing business as
Brandhorst Specialized 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
Last updated
Feb 23, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2023

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

Authorized official

Name
Lindsey Erin Brandhorst, MA, CCC-SLPNPI 1093117947
Title
Owner
Phone
(319) 350-5468

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
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X Primary

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 1

  • Brandhorst Specialized Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181010002038 IA Part B Supplier - Clinic/Group Practice 7214289750 Receives reassigned benefits from 2 practitioners
Practice locations: Hiawatha, IA

National Provider Directory

National Provider Directory

Locations

1355 Sherman Rd
Ste 501
Hiawatha, IA 52233
Phone (319) 350-5468

Practitioners & affiliated clinicians

Practitioners 5

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": "1520380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677110400000",
    "number": "1720580475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 SHERMAN RD STE 501",
            "city": "HIAWATHA",
            "state": "IA",
            "postal_code": "522331208",
            "telephone_number": "319-350-5468",
            "fax_number": "319-483-6604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 SHERMAN RD STE 501",
            "city": "HIAWATHA",
            "state": "IA",
            "postal_code": "522331208",
            "telephone_number": "319-350-5468",
            "fax_number": "319-483-6604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDHORST SPEECH THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-07",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A",
        "authorized_official_last_name": "BRANDHORST",
        "authorized_official_first_name": "LINDSEY",
        "authorized_official_middle_name": "ERIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "319-350-5468",
        "authorized_official_credential": "MA, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brandhorst Specialized Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hiawatha, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; 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.