Organization Active NPI

Naperville Pediatric Therapy LLC

  • Speech-Language Pathologist
  • Naperville, IL
National Provider Identifier
1922458645
Registry record updated Jun 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146011818 Issued in IL
Legal business name
NAPERVILLE PEDIATRIC THERAPY LLC
Practice address
200 E 5TH Ave
Suite 117B
Naperville, IL 60563-3100
Phone
(630) 220-9215
NPI assigned
Jun 14, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2016

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

Authorized official

Name
Colleen Wehrli, M.A. CCC-SLP
Title
Ceo, SLP
Phone
(630) 220-9215

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 146011818 IL Primary

Addresses

Primary practice location

200 E 5TH Ave
Suite 117B
Naperville, IL 60563-3100

Mailing address

26W151 Parkside Rd
Naperville, IL 60540-6815

National Provider Directory

National Provider Directory

Locations

200 E 5th Ave
Ste 117B
Naperville, IL 60563
Phone (630) 220-9215

NPI Registry JSON

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

{
    "created_epoch": "1465862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465862400000",
    "number": "1922458645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26W151 PARKSIDE RD",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605406815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E 5TH AVE",
            "address_2": "SUITE 117B",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605633100",
            "telephone_number": "630-220-9215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAPERVILLE PEDIATRIC THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-14",
        "last_updated": "2016-06-14",
        "status": "A",
        "authorized_official_last_name": "WEHRLI",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_title_or_position": "CEO, SLP",
        "authorized_official_telephone_number": "630-220-9215",
        "authorized_official_credential": "M.A. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146011818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2016; 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.