Beacon Therapies LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

4340 Issued in MA

Legal business name

BEACON THERAPIES LLC

Practice address

1051 Beacon St
Suite 511
Brookline, MA 02446-5685

Phone

(617) 512-4139

NPI assigned

Jan 13, 2015

Last updated

May 10, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Evelyn Martha Rodriguez, MS CCC-SLPNPI 1417377292

Title

Manager

Phone

(617) 512-4139

Specialties & licenses 1

Addresses

Other names 1

• Beacon Therapies Inc. Former legal business name

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.

• Evelyn Martha Rodriguez, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Brookline, MA
  • NPI 1417377292
  Authorized official Same address or phone

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

{
    "created_epoch": "1421107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683676800000",
    "number": "1891184909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1051 BEACON ST",
            "address_2": "SUITE 511",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024465685",
            "telephone_number": "617-512-4139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 BEACON ST",
            "address_2": "SUITE 511",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024465685",
            "telephone_number": "617-512-4139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON THERAPIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-13",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_middle_name": "MARTHA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "617-512-4139",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "4340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beacon Therapies Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Beacon Dental Center, PLLC
• Beacon Family Dental
• Beacon Orthodontic Associates, P.C.
• Beacon Place Dental Group
• Beacon Primary Medicine
• Charlotte Beal
• Beantown Physio, Inc
• Scott David Beardsley, PHD
• Kara Beasley, MS RD LDN
• Carol Ann Beaudoin, ED.D

• Speech-Language Pathologist in Brookline, MA
• Providers in Brookline, MA by specialty
• Speech-Language Pathologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2023; 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.