Penguin Pediatric Therapies Inc

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

PENGUIN PEDIATRIC THERAPIES INC

Practice address

103 College Ave SE Ste 203
Grand Rapids, MI 49503-5945

Phone

(616) 256-0016

NPI assigned

Aug 3, 2022

Organization subpart

No

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

Authorized official

Name

Heather Francis, MA, CCC-SLP

Title

President

Phone

(616) 401-9098

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1659484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659484800000",
    "number": "1922735612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6907 RIX ST SE",
            "city": "ADA",
            "state": "MI",
            "postal_code": "493019030",
            "telephone_number": "616-256-0016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 COLLEGE AVE SE STE 203",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495035945",
            "telephone_number": "616-256-0016"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2040 Raybrook St SE Ste 201-A",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495467739",
            "country_code": "US",
            "telephone_number": "616-256-0016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PENGUIN PEDIATRIC THERAPIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-03",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A",
        "authorized_official_last_name": "FRANCIS",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "616-401-9098",
        "authorized_official_credential": "MA, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angelica Pena
• Henry Junior Pena, DNP, AGNP-C
• Mia Pena
• Alex Pence, BCBA
• Megan Rachele Pence
• Lynzee Renee Penn
• Whitney Nicole Penn
• Pennant Physician Services
• David R Pennes, MD
• Marjorie Penning, PH.D.C.C.C.SLP

• Speech-Language Pathologist in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Speech-Language Pathologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.

Verify at the official NPI Registry.