NPIMap

Organization Active NPI

Dynamic Speech & Language Therapy, LLC

  • Speech-Language Pathologist
  • Woodland, WA
National Provider Identifier
1871240226
Registry record updated Aug 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
DYNAMIC SPEECH & LANGUAGE THERAPY, LLC
Practice address
1900 Belmont Loop
Woodland, WA 98674-8475
Phone
(360) 841-8096
Fax
(360) 326-1599
NPI assigned
Mar 6, 2022
Last updated
Aug 23, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2025

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

Authorized official

Name
Christy M Bisconer, MS, CCC-SLPNPI 1003474370
Title
Owner
Phone
(360) 601-4658

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 Pathologist 235Z00000X NU Primary

Addresses

Primary practice location

1900 Belmont Loop
Woodland, WA 98674-8475

Mailing address

647 Gun Club Rd
Woodland, WA 98674
Phone (360) 601-4658

Other practice location 1

647 Gun Club Rd
Woodland, WA 98674
Phone (360) 601-4658

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address christy@dynamicsltherapy.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251010003675 WA Part B Supplier - Clinic/Group Practice 6709383078 Receives reassigned benefits from 3 practitioners
Practice locations: Woodland, WA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1646524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755907200000",
    "number": "1871240226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "647 GUN CLUB RD",
            "city": "WOODLAND",
            "state": "WA",
            "postal_code": "98674",
            "telephone_number": "360-601-4658",
            "fax_number": "360-326-1599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 BELMONT LOOP",
            "city": "WOODLAND",
            "state": "WA",
            "postal_code": "986748475",
            "telephone_number": "360-841-8096",
            "fax_number": "360-326-1599"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "647 Gun Club Rd",
            "address_purpose": "LOCATION",
            "city": "Woodland",
            "state": "WA",
            "postal_code": "98674",
            "country_code": "US",
            "telephone_number": "360-601-4658",
            "fax_number": "360-326-1599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DYNAMIC SPEECH & LANGUAGE THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-06",
        "last_updated": "2025-08-23",
        "certification_date": "2025-08-23",
        "status": "A",
        "authorized_official_last_name": "BISCONER",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-601-4658",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "christy@dynamicsltherapy.com",
            "affiliation": "N",
            "endpointDescription": "HIPPA email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "HIPPA Email",
            "address_1": "647 Gun Club Rd",
            "city": "Woodland",
            "state": "WA",
            "country_code": "US",
            "postal_code": "98674",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Woodland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2025; 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.