Summit Therapy Group LLC

Organization Active NPI Speech-Language Pathologist · Timnath, CO

NPI 1902488018 · NPPES record last updated Jul 5, 2026

Key facts

NPI
1902488018
Entity type
Organization (NPI type 2)
Primary specialty
Speech-Language Pathologist 235Z00000X
Legal business name
SUMMIT THERAPY GROUP LLC
Practice address
5000 Goodman St Unit 105
Timnath, CO 80547-2393
Phone
(970) 900-6930
Fax
(970) 449-0576
NPI assigned
Apr 27, 2021
Organization subpart
No

Authorized official

Name
Jessica Elizabeth Hogan, M.S CCC-SLP
Title
Owner/SLP
Phone
(970) 900-6930

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CO

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20220505002178 CO Part B Supplier - Clinic/Group Practice 9739566027 Receives reassigned benefits from 7 practitioners
1 other NPI on this enrollment
Practice locations: Fort Collins, CO; Greeley, CO; Windsor, CO

National Provider Directory

Tax ID family
Summit Speech Therapy LLC (2 organizations share this tax ID)
Part of
Summit Speech Therapy LLC

Locations

5000 Goodman St
Unit 105
Timnath, CO 80547

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant
Group: 193200000X MULTI-SPECIALTY GROUP
224Z00000X
Physical Therapist
Group: 193200000X MULTI-SPECIALTY GROUP
225100000X
Physical Therapy Assistant
Group: 193200000X MULTI-SPECIALTY GROUP
225200000X
Occupational Therapist
Group: 193200000X MULTI-SPECIALTY GROUP
225X00000X
Speech-Language Assistant
Group: 193200000X MULTI-SPECIALTY GROUP
2355S0801X
Speech-Language Pathologist
Group: 193200000X MULTI-SPECIALTY GROUP
235Z00000X Yes

Addresses

Primary practice location

5000 Goodman St Unit 105
Timnath, CO 80547-2393

Mailing address

5000 Goodman St Unit 105
Timnath, CO 80547-2393
Phone (970) 900-6930

Other practice location 1

4650 Royal Vista Cir Ste 100
Windsor, CO 80528-9321
Phone (970) 305-5070

Other identifiers

IdentifierTypeStateIssuer
9000183371MedicaidCO

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address jessi.hogan@summittherapyteam.com

Other providers in Timnath, CO

All providers in Timnath, CO · Speech-Language Pathologist in Colorado

Sources for this page

Verify at the official NPI Registry.