Active NPI
BKN Legacy LLC
- Speech-Language Pathologist
- Green, OH
National Provider Identifier
1720991169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- BKN LEGACY LLC
- Practice address
- 4700 Massillon Rd
Green, OH 44720-1166 - Phone
- (330) 896-9119
- NPI assigned
- Sep 25, 2026
- Last updated
- Sep 25, 2026
- 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
- Carole Martin
- Title
- Owner
- Phone
- (440) 708-4815
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | NU | Primary |
Addresses
Primary practice location
4700 Massillon Rd
Green, OH 44720-1166
Mailing address
3076 E Edgerton Rd
Silver Lake, OH 44224-3107
Phone (440) 708-4815
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Speech-Language Pathologist
- North Canton, OH
- NPI 1770154072
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790294400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790294400000",
"number": "1720991169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3076 E EDGERTON RD",
"city": "SILVER LAKE",
"state": "OH",
"postal_code": "442243107",
"telephone_number": "440-708-4815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4700 MASSILLON RD",
"city": "GREEN",
"state": "OH",
"postal_code": "447201166",
"telephone_number": "330-896-9119"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BKN LEGACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-25",
"last_updated": "2026-09-25",
"certification_date": "2026-09-25",
"status": "A",
"authorized_official_last_name": "MARTIN",
"authorized_official_first_name": "CAROLE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "440-708-4815"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Green, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.