Active Speech Therapy PLLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

ACTIVE SPEECH THERAPY PLLC

Practice address

5840 N Canton Center Rd Ste 224
Canton, MI 48187-2684

Phone

(248) 896-1209

NPI assigned

Jun 8, 2021

Last updated

Jun 8, 2021By 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

Gurpreet ChawlaNPI 1306457718

Title

Owner

Phone

(248) 896-1209

Specialties & licenses 1

Addresses

Locations

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.

• Gurpreet Chawla, MA, CCC-SLP

  • Speech-Language Pathologist
  • Canton, MI
  • NPI 1306457718
  Authorized official Same address or phone

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

{
    "created_epoch": "1623110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623110400000",
    "number": "1740857796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 N CANTON CENTER RD UNIT 871812",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481878773",
            "telephone_number": "248-896-1209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5840 N CANTON CENTER RD STE 224",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481872684",
            "telephone_number": "248-896-1209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE SPEECH THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-08",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A",
        "authorized_official_last_name": "CHAWLA",
        "authorized_official_first_name": "GURPREET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-896-1209"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jan Edward Abramowicz Jr., PA-C
• Ahmad Abu Baker
• Fadi Abu Yasin, MD
• Dunya Abueita, SLP
• Accent Meddical Equipment
• Actualized Psychotherapy and Senior Counseling PLLC
• Brittany Adams
• Dominique Adams, LLMSW
• Fatimah Adams, L.P.N.
• Gary Joseph Adams, RPH

• Speech-Language Pathologist in Canton, MI
• Providers in Canton, MI by specialty
• Speech-Language Pathologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.