NPIMap

Organization Active NPI

Aspen Speech Therapy and Rehabilitation LLC

  • Speech-Language Pathologist
  • Fort Collins, CO
National Provider Identifier
1942595376
Registry record updated Aug 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
ASPEN SPEECH THERAPY AND REHABILITATION LLC
Practice address
1136 E Stuart St Ste 3120
Fort Collins, CO 80525-1196
Phone
(970) 682-3743
NPI assigned
Jun 14, 2011
Organization subpart
Yes
Parent organization
ASPEN SPEECH THERAPY AND REHABILITATION LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 21, 2019

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

Authorized official

Name
Kristi Leigh Kelly, M.S., CCC/SLP
Title
Speech Pathologist
Phone
(970) 682-3743

Specialties & licenses 1

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

Addresses

Primary practice location

1136 E Stuart St Ste 3120
Fort Collins, CO 80525-1196

Mailing address

1136 E Stuart St Ste 3120
Fort Collins, CO 80525-1196
Phone (970) 682-3743

Other names 1

  • Aspen Speech Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120606000304 CO Part B Supplier - Clinic/Group Practice 2163686023 Receives reassigned benefits from 1 practitioner
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Loveland, CO; Fort Collins, CO; Greeley, CO

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Aspen Speech Thpy and Rehab

NPI Registry JSON

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

{
    "created_epoch": "1308009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566345600000",
    "number": "1942595376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1136 E STUART ST STE 3120",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805251196",
            "telephone_number": "970-682-3743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1136 E STUART ST STE 3120",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805251196",
            "telephone_number": "970-682-3743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPEN SPEECH THERAPY AND REHABILITATION LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ASPEN SPEECH THERAPY AND REHABILITATION LLC",
        "enumeration_date": "2011-06-14",
        "last_updated": "2019-08-21",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "SPEECH PATHOLOGIST",
        "authorized_official_telephone_number": "970-682-3743",
        "authorized_official_credential": "M.S., 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": [
        {
            "organization_name": "Aspen Speech Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Aspen Speech Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; 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.