Organization Active NPI

Modern Speech and Myofunctional Therapy, LLC

  • Speech-Language Pathologist
  • Eagle, ID
National Provider Identifier
1780413294
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
MODERN SPEECH AND MYOFUNCTIONAL THERAPY, LLC
Practice address
1036 E Iron Eagle Dr Ste 108
Eagle, ID 83616-6558
Phone
(208) 918-1466
NPI assigned
Aug 1, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

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

Authorized official

Name
Allison SchmidtNPI 1861118556
Title
Speech Pathologist
Phone
(208) 918-1466

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: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

1036 E Iron Eagle Dr Ste 108
Eagle, ID 83616-6558

Mailing address

1036 E Iron Eagle Dr Ste 108
Eagle, ID 83616-6558
Phone (208) 918-1466

National Provider Directory

National Provider Directory

Locations

1036 E Iron Eagle Dr
Ste 108
Eagle, ID 83616
Phone (208) 918-1466

Practitioners & affiliated clinicians

Practitioners 1

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": "1722470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754524800000",
    "number": "1780413294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1036 E IRON EAGLE DR STE 108",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836166558",
            "telephone_number": "208-918-1466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1036 E IRON EAGLE DR STE 108",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836166558",
            "telephone_number": "208-918-1466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN SPEECH AND MYOFUNCTIONAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-01",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A",
        "authorized_official_last_name": "SCHMIDT",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_title_or_position": "SPEECH PATHOLOGIST",
        "authorized_official_telephone_number": "208-918-1466"
    },
    "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 Eagle, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2025; 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.