Organization Active NPI

Lio Mana'Olana Therapy, LLC

  • Speech-Language Pathologist
  • Gilbert, AZ
National Provider Identifier
1730364951
Registry record updated Jan 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP0865 Issued in AZ
Legal business name
LIO MANA'OLANA THERAPY, LLC
Practice address
22807 S Recker Rd
Gilbert, AZ 85298-8936
Phone
(602) 743-4174
Fax
(480) 988-2453
NPI assigned
Jan 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2008

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

Authorized official

Name
Ms. Vicki Anne Slocum, MA, CCC-SLP
Title
Owner
Phone
(602) 743-4174

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 235Z00000X SLP0865 AZ Primary

Addresses

Primary practice location

22807 S Recker Rd
Gilbert, AZ 85298-8936

Mailing address

22807 S Recker Rd
Gilbert, AZ 85298-8936
Phone (602) 743-4174

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1199664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199664000000",
    "number": "1730364951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22807 S RECKER RD",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852988936",
            "telephone_number": "602-743-4174",
            "fax_number": "480-988-2453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22807 S RECKER RD",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852988936",
            "telephone_number": "602-743-4174",
            "fax_number": "480-988-2453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIO MANA'OLANA THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-07",
        "last_updated": "2008-01-07",
        "status": "A",
        "authorized_official_last_name": "SLOCUM",
        "authorized_official_first_name": "VICKI",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-743-4174",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP0865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2008; 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.