Active NPI
Ab Direct Therapy LLC
- Hearing and Speech Clinic/Center
- Buffalo Mills, PA
National Provider Identifier
1922731652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing and Speech Clinic/Center
- Legal business name
- AB DIRECT THERAPY LLC
- Practice address
- 396 Walker Rd
Buffalo Mills, PA 15534-1703 - Phone
- (814) 792-5501
- NPI assigned
- Jul 9, 2022
- Last updated
- Jul 9, 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
- Ashley Broadwater, CCC-SLP
- Title
- Speech Language Pathologist/Owner
- Phone
- (814) 792-5501
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing and Speech Clinic/Center | 261QH0700X | NU | Primary |
Addresses
Primary practice location
396 Walker Rd
Buffalo Mills, PA 15534-1703
Mailing address
396 Walker Rd
Buffalo Mills, PA 15534-1703
Phone (814) 792-5501
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
- Buffalo Mills, PA
- NPI 1659004372
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657324800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1657324800000",
"number": "1922731652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "396 WALKER RD",
"city": "BUFFALO MILLS",
"state": "PA",
"postal_code": "155341703",
"telephone_number": "814-792-5501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "396 WALKER RD",
"city": "BUFFALO MILLS",
"state": "PA",
"postal_code": "155341703",
"telephone_number": "814-792-5501"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AB DIRECT THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-07-09",
"last_updated": "2022-07-09",
"certification_date": "2022-07-09",
"status": "A",
"authorized_official_last_name": "BROADWATER",
"authorized_official_first_name": "ASHLEY",
"authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST/OWNER",
"authorized_official_telephone_number": "814-792-5501",
"authorized_official_credential": "CCC-SLP"
},
"taxonomies": [
{
"code": "261QH0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, Hearing and Speech",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Buffalo Mills, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.