Organization Active NPI

Kansas Speech Therapy LLC

  • Speech-Language Pathologist
  • McPherson, KS
National Provider Identifier
1942443296
Registry record updated Dec 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2063 Issued in KS
Legal business name
KANSAS SPEECH THERAPY LLC
Practice address
1532 N Walnut St
McPherson, KS 67460-1824
Phone
(620) 480-9320
Fax
(620) 210-6984
NPI assigned
Apr 16, 2009
Last updated
Dec 6, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2021

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

Authorized official

Name
Mike Berger
Title
Operating Manager
Phone
(620) 480-9320

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 2063 KS Primary

Addresses

Primary practice location

1532 N Walnut St
McPherson, KS 67460-1824

Mailing address

1532 N Walnut St
McPherson, KS 67460-1824
Phone (620) 480-9320

National Provider Directory

National Provider Directory

Locations

300 S 9th St
Ste 104
Salina, KS 67401
Phone (785) 577-0591

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1239840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638748800000",
    "number": "1942443296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1532 N WALNUT ST",
            "city": "MCPHERSON",
            "state": "KS",
            "postal_code": "674601824",
            "telephone_number": "620-480-9320",
            "fax_number": "620-210-6984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1532 N WALNUT ST",
            "city": "MCPHERSON",
            "state": "KS",
            "postal_code": "674601824",
            "telephone_number": "620-480-9320",
            "fax_number": "620-210-6984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANSAS SPEECH THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-16",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A",
        "authorized_official_last_name": "BERGER",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "OPERATING MANAGER",
        "authorized_official_telephone_number": "620-480-9320"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "KS",
            "license": "2063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McPherson, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2021; 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.