Organization Active NPI

Royalty Speech Therapy, LLC

  • Speech-Language Pathologist
  • Miami, OK
National Provider Identifier
1790291367
Registry record updated Feb 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
ROYALTY SPEECH THERAPY, LLC
Practice address
17 3Rd Ave NW
Miami, OK 74354
Phone
(918) 919-3143
Fax
(918) 544-6242
NPI assigned
Dec 19, 2017
Last updated
Feb 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2024

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

Authorized official

Name
Kourtney Ann Reading, M.S. CCC-SLP
Title
Speech Language Pathologist
Phone
(918) 919-3143

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

17 3Rd Ave NW
Miami, OK 74354

Mailing address

17 3Rd Ave NW
Miami, OK 74354
Phone (918) 919-3143

Other identifiers 1

IdentifierTypeStateIssuer
200745910AMedicaidOK

National Provider Directory

National Provider Directory

Locations

1227 N Main St
Miami, OK 74354
Phone (918) 542-6655

17 3rd Ave NW
Miami, OK 74354
Phone (918) 919-3143

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1513641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708905600000",
    "number": "1790291367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 3RD AVE NW",
            "city": "MIAMI",
            "state": "OK",
            "postal_code": "74354",
            "telephone_number": "918-919-3143",
            "fax_number": "918-544-6242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 3RD AVE NW",
            "city": "MIAMI",
            "state": "OK",
            "postal_code": "74354",
            "telephone_number": "918-919-3143",
            "fax_number": "918-544-6242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYALTY SPEECH THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-19",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-23",
        "status": "A",
        "authorized_official_last_name": "READING",
        "authorized_official_first_name": "KOURTNEY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "918-919-3143",
        "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200745910A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.

Verify at the official NPI Registry.