Active NPI
Aspen Speech Therapy and Rehabilitation LLC
- Speech-Language Pathologist
- Windsor, CO
National Provider Identifier
1760039028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- ASPEN SPEECH THERAPY AND REHABILITATION LLC
- Practice address
- 4650 Royal Vista Cir Ste 100
Windsor, CO 80528-9321 - Phone
- (970) 682-3743
- NPI assigned
- Aug 21, 2019
- Organization subpart
- Yes
- Parent organization
- ASPEN SPEECH THERAPY AND REHABILITATION LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kristi Leigh Kelly, M.S., CCC/SLP
- Title
- Speech Pathologist
- Phone
- (970) 682-3743
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
4650 Royal Vista Cir Ste 100
Windsor, CO 80528-9321
Mailing address
1136 E Stuart St Ste 3120
Fort Collins, CO 80525-1196
Phone (970) 682-3743
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120606000304 | CO | Part B Supplier - Clinic/Group Practice | 2163686023 |
Receives reassigned benefits from 1 practitioner 5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Loveland, CO; Fort Collins, CO; Greeley, CO |
Other NPIs on the same Medicare enrollment 5
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Speech-Language Pathologist
- Loveland, CO
- NPI 1093349565
O20120606000304
-
- Speech-Language Pathologist
- Loveland, CO
- NPI 1669029922
O20120606000304
-
- Speech-Language Pathologist
- Fort Collins, CO
- NPI 1669733267
O20120606000304
-
- Speech-Language Pathologist
- Greeley, CO
- NPI 1821645185
O20120606000304
-
- Speech-Language Pathologist
- Fort Collins, CO
- NPI 1942595376
O20120606000304
National Provider Directory
National Provider Directory- Part of
- Aspen Speech Thpy and Rehab
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566345600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1566345600000",
"number": "1760039028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1136 E STUART ST STE 3120",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805251196",
"telephone_number": "970-682-3743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4650 ROYAL VISTA CIR STE 100",
"city": "WINDSOR",
"state": "CO",
"postal_code": "805289321",
"telephone_number": "970-682-3743"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASPEN SPEECH THERAPY AND REHABILITATION LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ASPEN SPEECH THERAPY AND REHABILITATION LLC",
"enumeration_date": "2019-08-21",
"last_updated": "2019-08-21",
"status": "A",
"authorized_official_last_name": "KELLY",
"authorized_official_first_name": "KRISTI",
"authorized_official_middle_name": "LEIGH",
"authorized_official_title_or_position": "SPEECH PATHOLOGIST",
"authorized_official_telephone_number": "970-682-3743",
"authorized_official_credential": "M.S., CCC/SLP"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Windsor, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.