Organization Active NPI

Bluebird Sky Therapy

  • Hearing and Speech Clinic/Center
  • Castle Pines, CO
National Provider Identifier
1790561538
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
Legal business name
BLUEBIRD SKY THERAPY
Practice address
8415 Briar Trace Drive
Castle Pines, CO 80108
Phone
(812) 483-0394
NPI assigned
Sep 7, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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

Authorized official

Name
Emily Wolkenberg, MA CCC-SLPNPI 1255012340
Title
Speech-Language Pathologist
Phone
(812) 483-0394

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
Hearing and Speech Clinic/Center 261QH0700X Primary

Addresses

Primary practice location

8415 Briar Trace Drive
Castle Pines, CO 80108

Mailing address

6767 S Vine St # 1176
Centennial, CO 80122-3171

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240313003001 CO Part B Supplier - Clinic/Group Practice 0143666081 Receives reassigned benefits from 1 practitioner
Practice locations: Castle Pines, CO

National Provider Directory

National Provider Directory

Locations

6767 S Vine St
Centennial, CO 80122
Phone (720) 292-7885

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": "1694044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694044800000",
    "number": "1790561538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6767 S VINE ST # 1176",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801223171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8415 BRIAR TRACE DRIVE",
            "city": "CASTLE PINES",
            "state": "CO",
            "postal_code": "80108",
            "telephone_number": "812-483-0394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEBIRD SKY THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-07",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-05",
        "status": "A",
        "authorized_official_last_name": "WOLKENBERG",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "812-483-0394",
        "authorized_official_credential": "MA CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castle Pines, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; 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.

Verify at the official NPI Registry.