Active NPI
Myo Place Therapy LLC
- Speech-Language Pathologist
- Lombard, IL
National Provider Identifier
1902438997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- 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, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Heather Connelly, MS CCC-SLP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Speech-Language Pathologist
- Schaumburg, IL
- NPI 1669667291
-
- Speech-Language Pathologist
- Schaumburg, IL
- NPI 1265814750
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.