Organization Active NPI

Journey Pediatric Therapy LLC

  • Speech-Language Pathologist
  • Edina, MN
National Provider Identifier
1730750159
Registry record updated Aug 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
JOURNEY PEDIATRIC THERAPY LLC
Practice address
3300 Edinborough Way Ste 207
Edina, MN 55435-5923
Phone
(952) 204-5523
NPI assigned
Jul 7, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2021

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

Authorized official

Name
Tiana Camille HoyezNPI 1427628304
Title
Ceo
Phone
(763) 442-5178

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

3300 Edinborough Way Ste 207
Edina, MN 55435-5923

Mailing address

8400 Stone Creek Dr
Chanhassen, MN 55317-7422
Phone (763) 442-5178

National Provider Directory

National Provider Directory

Locations

3300 Edinborough Way
Ste 207
Edina, MN 55435
Phone (952) 204-5523

8000 W 78th St
Ste 175
Edina, MN 55439

Practitioners & affiliated clinicians

Practitioners 4

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": "1625616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630281600000",
    "number": "1730750159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8400 STONE CREEK DR",
            "city": "CHANHASSEN",
            "state": "MN",
            "postal_code": "553177422",
            "telephone_number": "763-442-5178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 EDINBOROUGH WAY STE 207",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554355923",
            "telephone_number": "952-204-5523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOURNEY PEDIATRIC THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-07",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A",
        "authorized_official_last_name": "HOYEZ",
        "authorized_official_first_name": "TIANA",
        "authorized_official_middle_name": "CAMILLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "763-442-5178"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; 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.