Dynamic Therapy Solutions, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

12041536 Issued in CO

Legal business name

DYNAMIC THERAPY SOLUTIONS, LLC

Practice address

1082 Greenland Forest Dr
Monument, CO 80132-9344

Phone

(360) 473-7877

NPI assigned

Jun 12, 2012

Last updated

Jun 12, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Julia Marie Baux, M.A., CCC-SLPNPI 1073728614

Title

Owner/Ceo

Phone

(360) 473-7877

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Julia M Baux, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Monument, CO
  • NPI 1073728614
  Authorized official Same address or phone

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

{
    "created_epoch": "1339459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339459200000",
    "number": "1740542059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1082 GREENLAND FOREST DR",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "801329344",
            "telephone_number": "360-473-7877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1082 GREENLAND FOREST DR",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "801329344",
            "telephone_number": "360-473-7877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC THERAPY SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-12",
        "last_updated": "2012-06-12",
        "status": "A",
        "authorized_official_last_name": "BAUX",
        "authorized_official_first_name": "JULIA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "360-473-7877",
        "authorized_official_credential": "M.A., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "12041536",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHA",
            "identifier": "12041536",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Monument, CO
• Providers in Monument, CO by specialty
• Speech-Language Pathologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2012; 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.