Speech Therapy Time LLC

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

Legal business name

SPEECH THERAPY TIME LLC

Practice address

4708 E County Down Dr
Chandler, AZ 85249-7342

Phone

(480) 710-5835

NPI assigned

Aug 9, 2019

Organization subpart

No

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

Authorized official

Name

Domenik Spaleta, LICENSE # SLPA7124

Title

Owner / Slpa

Phone

(480) 710-5835

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1565308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565308800000",
    "number": "1912553553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4708 E COUNTY DOWN DR",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852497342",
            "telephone_number": "480-710-5835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4708 E COUNTY DOWN DR",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852497342",
            "telephone_number": "480-710-5835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECH THERAPY TIME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-09",
        "last_updated": "2019-08-09",
        "status": "A",
        "authorized_official_last_name": "SPALETA",
        "authorized_official_first_name": "DOMENIK",
        "authorized_official_title_or_position": "OWNER / SLPA",
        "authorized_official_telephone_number": "480-710-5835",
        "authorized_official_credential": "LICENSE # SLPA7124"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2019; 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.