Pediatric Speech Therapy, LLC

Primary specialty

Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X

License

2603 Issued in KS

Legal business name

PEDIATRIC SPEECH THERAPY, LLC

Doing business as

Small Talk Wichita

Practice address

3707 E 3Rd St N
Wichita, KS 67208-3230

Phone

(316) 210-5907

NPI assigned

Nov 18, 2013

Organization subpart

No

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

Authorized official

Name

Mary Caitlin Smith, SLPNPI 1962664037

Title

Owner

Phone

(316) 210-5907

Specialties & licenses 1

Addresses

Other names 1

• SMALL TALK WICHITA Doing business as

Locations

Practitioners 1

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.

• Mary Caitlin Smith, SLP

  • Speech-Language Pathologist
  • Wichita, KS
  • NPI 1962664037
  NPD (past) Authorized official

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

{
    "created_epoch": "1384732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384732800000",
    "number": "1841620499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 E DOUGLAS AVE",
            "address_2": "STE 55",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672083700",
            "telephone_number": "316-210-5907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3707 E 3RD ST N",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672083230",
            "telephone_number": "316-210-5907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC SPEECH THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-18",
        "last_updated": "2013-11-18",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "CAITLIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "316-210-5907",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "KS",
            "license": "2603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SMALL TALK WICHITA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Madison Peckham, CRNA
• Michelle Diane Peckham, LCPC
• Carly Peckman
• Rachel Elizabeth Pecora, PHARM.D.
• Brian Pederson, RPH
• Pediatric Therapy Center of Wichita, LLC
• Pediatrix Medical Group of Kansas PA
• Saige A Peebler, OTA
• Kathryn Peek
• Peeples Orthotics & Prosthetics (Peeples O & P)

• Hearing and Speech Clinic/Center in Wichita, KS
• Providers in Wichita, KS by specialty
• Hearing and Speech Clinic/Center in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2013; 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.