Active NPI
Jordon Gliem, M.A.
- Speech-Language Pathologist
- Twinsburg, OH
National Provider Identifier
1902229651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP.10986
- Practice address
- 2132 Case Pkwy Ste a
Twinsburg, OH 44087-2383 - Phone
- (330) 963-8600
- Fax
- (330) 963-8680
- NPI assigned
- Jan 31, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP.10986 | OH | Primary |
Addresses
Primary practice location
2132 Case Pkwy Ste a
Twinsburg, OH 44087-2383
Mailing address
17842 Northwood Ave
Apt 17
Lakewood, OH 44107-2238
Phone (330) 347-1441
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP.10986 | OH | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477958400000",
"number": "1902229651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17842 NORTHWOOD AVE",
"address_2": "APT 17",
"city": "LAKEWOOD",
"state": "OH",
"postal_code": "441072238",
"telephone_number": "330-347-1441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2132 CASE PKWY STE A",
"city": "TWINSBURG",
"state": "OH",
"postal_code": "440872383",
"telephone_number": "330-963-8600",
"fax_number": "330-963-8680"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLIEM",
"first_name": "JORDON",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-31",
"last_updated": "2016-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OH",
"license": "SP.10986",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Twinsburg, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.