NPIMap

Organization Active NPI

Lifespan Speech Therapy LLC

  • Speech-Language Pathologist
  • Liverpool, NY
National Provider Identifier
1821731415
Registry record updated Apr 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
LIFESPAN SPEECH THERAPY LLC
Practice address
290 Elwood Davis Rd Ste 222
Liverpool, NY 13088-6193
Phone
(907) 978-4580
NPI assigned
Apr 20, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2022

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

Authorized official

Name
Panika Palmer, SLPNPI 1528431954
Title
Speech-Language Pathologist
Phone
(907) 978-4580

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

290 Elwood Davis Rd Ste 222
Liverpool, NY 13088-6193

Mailing address

290 Elwood Davis Rd Ste 222
Liverpool, NY 13088-6193
Phone (907) 978-4580

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1650412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650412800000",
    "number": "1821731415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 ELWOOD DAVIS RD STE 222",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130886193",
            "telephone_number": "907-978-4580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 ELWOOD DAVIS RD STE 222",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130886193",
            "telephone_number": "907-978-4580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESPAN SPEECH THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-20",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A",
        "authorized_official_last_name": "PALMER",
        "authorized_official_first_name": "PANIKA",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "907-978-4580",
        "authorized_official_credential": "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 Liverpool, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2022; 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.