Organization Active NPI

Amplifying Potential Therapy PLLC

  • Hearing and Speech Clinic/Center
  • Highland Park, IL
National Provider Identifier
1932811783
Registry record updated Dec 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
Legal business name
AMPLIFYING POTENTIAL THERAPY PLLC
Practice address
799 Moseley Rd
Highland Park, IL 60035-4633
Phone
(262) 914-3455
NPI assigned
Dec 22, 2022
Last updated
Dec 22, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2022

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

Authorized official

Name
Taylor Janisch, MSNPI 1306430749
Title
Speech-Language Pathologist
Phone
(262) 914-3455

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)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X Primary

Addresses

Primary practice location

799 Moseley Rd
Highland Park, IL 60035-4633

Mailing address

799 Moseley Rd
Highland Park, IL 60035-4633

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231121001986 IL Part B Supplier - Clinic/Group Practice 6305294968 Receives reassigned benefits from 4 practitioners
Practice locations: Northbrook, IL

National Provider Directory

National Provider Directory

Locations

609 Landwehr Rd
Northbrook, IL 60062
Phone (224) 300-8866

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1671667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671667200000",
    "number": "1932811783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "799 MOSELEY RD",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600354633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "799 MOSELEY RD",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600354633",
            "telephone_number": "262-914-3455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMPLIFYING POTENTIAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-22",
        "last_updated": "2022-12-22",
        "certification_date": "2022-12-22",
        "status": "A",
        "authorized_official_last_name": "JANISCH",
        "authorized_official_first_name": "TAYLOR",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "262-914-3455",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.