Organization Active NPI

Myo Place Therapy LLC

  • Speech-Language Pathologist
  • Lombard, IL
National Provider Identifier
1902438997
Registry record updated Sep 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
MYO PLACE THERAPY LLC
Practice address
2 E 22ND St Ste 110
Lombard, IL 60148-6100
Phone
(630) 394-9985
Fax
(630) 338-0738
NPI assigned
Feb 7, 2020
Last updated
Sep 25, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2022

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

Authorized official

Name
Heather Connelly, MS CCC-SLPNPI 1669667291
Title
Owner/Manager
Phone
(630) 248-7006

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

2 E 22ND St Ste 110
Lombard, IL 60148-6100

Mailing address

207 W Hartford Dr
Schaumburg, IL 60193-3943
Phone (630) 248-7006

National Provider Directory

National Provider Directory

Locations

2 E 22nd St
Ste 110
Lombard, IL 60148
Phone (630) 376-3617

Practitioners & affiliated clinicians

Practitioners 2

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": "1581033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664064000000",
    "number": "1902438997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 W HARTFORD DR",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601933943",
            "telephone_number": "630-248-7006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 E 22ND ST STE 110",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601486100",
            "telephone_number": "630-394-9985",
            "fax_number": "630-338-0738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYO PLACE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-07",
        "last_updated": "2022-09-25",
        "certification_date": "2022-09-25",
        "status": "A",
        "authorized_official_last_name": "CONNELLY",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "630-248-7006",
        "authorized_official_credential": "MS CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lombard, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.