NPIMap

Organization Active NPI

JPM Therapies, LLC

  • Speech-Language Pathologist
  • Indianapolis, IN
National Provider Identifier
1821250804
Registry record updated Jun 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
22004529A Issued in IN
Legal business name
JPM THERAPIES, LLC
Practice address
2052 Suda Dr
Indianapolis, IN 46280-1571
Phone
(317) 571-8595
Fax
(317) 571-8595
NPI assigned
Jun 30, 2008
Last updated
Jun 30, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2008

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

Authorized official

Name
Mrs. Jacqueline Patricia McNulty, MA, CCC-SLP
Title
Speech-Language Pathologist
Phone
(317) 571-8595

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 22004529A IN Primary

Addresses

Primary practice location

2052 Suda Dr
Indianapolis, IN 46280-1571

Mailing address

2052 Suda Dr
Indianapolis, IN 46280-1571
Phone (317) 571-8595

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1821250804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2052 SUDA DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462801571",
            "telephone_number": "317-571-8595",
            "fax_number": "317-571-8595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2052 SUDA DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462801571",
            "telephone_number": "317-571-8595",
            "fax_number": "317-571-8595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JPM THERAPIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-30",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "MCNULTY",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "PATRICIA",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "317-571-8595",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "22004529A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; 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.