Active NPI
Supportive Speech Therapy LLC
- Hearing and Speech Clinic/Center
- Portsmouth, RI
National Provider Identifier
1750113775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing and Speech Clinic/Center
- Legal business name
- SUPPORTIVE SPEECH THERAPY LLC
- Practice address
- 62 Alan Ave
Portsmouth, RI 02871-4330 - Phone
- (401) 864-4553
- NPI assigned
- Aug 19, 2024
- 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
- Isabella Maguire, MS, CCC-SLP
- Title
- Owner, SLP
- Phone
- (401) 864-4553
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing and Speech Clinic/Center | 261QH0700X | Primary |
Addresses
Primary practice location
62 Alan Ave
Portsmouth, RI 02871-4330
Mailing address
62 Alan Ave
Portsmouth, RI 02871-4330
Phone (401) 864-4553
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | isabella@supportivespeechtherapy.org | Direct |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- Providence, RI
- NPI 1316710338
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724025600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1724025600000",
"number": "1750113775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "62 ALAN AVE",
"city": "PORTSMOUTH",
"state": "RI",
"postal_code": "028714330",
"telephone_number": "401-864-4553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "62 ALAN AVE",
"city": "PORTSMOUTH",
"state": "RI",
"postal_code": "028714330",
"telephone_number": "401-864-4553"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUPPORTIVE SPEECH THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-19",
"last_updated": "2024-08-19",
"certification_date": "2024-08-18",
"status": "A",
"authorized_official_last_name": "MAGUIRE",
"authorized_official_first_name": "ISABELLA",
"authorized_official_title_or_position": "OWNER, SLP",
"authorized_official_telephone_number": "401-864-4553",
"authorized_official_credential": "MS, CCC-SLP"
},
"taxonomies": [
{
"code": "261QH0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, Hearing and Speech",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "isabella@supportivespeechtherapy.org",
"affiliation": "N",
"endpointDescription": "E-Mail",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "62 Alan Ave",
"city": "Portsmouth",
"state": "RI",
"country_code": "US",
"postal_code": "028714330",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Portsmouth, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.