Active NPI
Pediatric Therapy Specialists
- Speech-Language Pathologist
- Woodland Park, CO
National Provider Identifier
1922260041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 01064037
- Legal business name
- PEDIATRIC THERAPY SPECIALISTS
- Practice address
- 302 Crestwood Dr
Woodland Park, CO 80863-8391 - Phone
- (719) 687-8727
- NPI assigned
- Jun 30, 2008
- Last updated
- Jun 30, 2008
- 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
- Mrs. Julie Williams, M.A., CCC-SLP
- Title
- Speech- Language Pathologist
- Phone
- (719) 687-8727
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 | 01064037 | CO | Primary |
Addresses
Primary practice location
302 Crestwood Dr
Woodland Park, CO 80863-8391
Mailing address
302 Crestwood Dr
Woodland Park, CO 80863-8391
Phone (719) 687-8727
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 55670032 | Medicaid | CO |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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
- Woodland Park, CO
- NPI 1730158221
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214784000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214784000000",
"number": "1922260041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "302 CRESTWOOD DR",
"city": "WOODLAND PARK",
"state": "CO",
"postal_code": "808638391",
"telephone_number": "719-687-8727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 CRESTWOOD DR",
"city": "WOODLAND PARK",
"state": "CO",
"postal_code": "808638391",
"telephone_number": "719-687-8727"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEDIATRIC THERAPY SPECIALISTS",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-30",
"last_updated": "2008-06-30",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "JULIE",
"authorized_official_title_or_position": "SPEECH- LANGUAGE PATHOLOGIST",
"authorized_official_telephone_number": "719-687-8727",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "M.A., CCC-SLP"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CO",
"license": "01064037",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "55670032",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Woodland Park, CO
- Peak Medical Care, PLLC
- Peak Medical Care, PLLC
- Peak Medical Care, PLLC
- Peak Potential Behavior & Wellness LLC
- Pediatric Pulmonary and Sleep Specialists, PLLC (Pediatric Sleep Specialists)
- Karen Louise Pett, LMT CNMT
- Jennifer Pierce, LAC
- Marie Gina Pierre-Louis, RN
- Pike's Peak Orthopedics Prof. , LLC
- Pikes Peak ENT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.