Organization Active NPI

Grey Matter Speech Therapy

  • Hearing and Speech Clinic/Center
  • Fort Collins, CO
National Provider Identifier
1720614167
Registry record updated Apr 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
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

Updated by the provider on Apr 7, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1811215148OtherINDIVIDUAL NPI (TYPE 1)

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.