Active NPI
Grey Matter Speech Therapy
- Hearing and Speech Clinic/Center
- Fort Collins, CO
National Provider Identifier
1720614167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing and Speech Clinic/Center
- Legal business name
- GREY MATTER SPEECH THERAPY
- Practice address
- 4816 Key Largo Dr
Fort Collins, CO 80526-4634 - Phone
- (970) 286-7350
- NPI assigned
- Mar 17, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rebecca Lee
- Title
- Owner/SLP
- Phone
- (970) 286-7350
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing and Speech Clinic/Center | 261QH0700X | Primary |
Addresses
Primary practice location
4816 Key Largo Dr
Fort Collins, CO 80526-4634
Mailing address
4816 Key Largo Dr
Fort Collins, CO 80526-4634
Phone (970) 286-7350
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811215148 | Other | INDIVIDUAL NPI (TYPE 1) |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584403200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1586217600000",
"number": "1720614167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4816 KEY LARGO DR",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805264634",
"telephone_number": "970-286-7350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4816 KEY LARGO DR",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805264634",
"telephone_number": "970-286-7350"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREY MATTER SPEECH THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2020-03-17",
"last_updated": "2020-04-07",
"certification_date": "2020-04-07",
"status": "A",
"authorized_official_last_name": "LEE",
"authorized_official_first_name": "REBECCA",
"authorized_official_title_or_position": "OWNER/SLP",
"authorized_official_telephone_number": "970-286-7350"
},
"taxonomies": [
{
"code": "261QH0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, Hearing and Speech",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI (TYPE 1)",
"identifier": "1811215148",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.