Active NPI
KMGP Holdings LLC
Doing business as Feeding Friends Therapy Services
- Speech-Language Pathologist
- Saint Peters, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- KMGP HOLDINGS LLC
- Doing business as
- Feeding Friends Therapy Services
- Practice address
- 1400 Triad Center Dr Ste a
Saint Peters, MO 63376-7351 - Phone
- (314) 254-2188
- Fax
- (833) 638-0807
- NPI assigned
- Dec 7, 2021
- Last updated
- Feb 17, 2025
- 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
- Attea Costanzo, MS CCC-SLP
- Title
- Owner Speech Therapist
- Phone
- (915) 603-7070
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | NU | ||
| Occupational Therapist | 225X00000X | NU | ||
| Speech-Language Pathologist | 235Z00000X | NU | Primary |
Addresses
Primary practice location
1400 Triad Center Dr Ste a
Saint Peters, MO 63376-7351
Mailing address
901 Tenlynn CT
Saint Louis, MO 63124-1250
Phone (915) 603-7070
Other practice location 1
901 Tenlynn Ct
Saint Louis, MO 63124-1250
Phone (915) 603-7070
Other names 1
- Feeding Friends Therapy Services
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Support@myfeedingfriends.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1400 Triad Center Dr
Ste A
Saint Peters, MO 63376
Phone (314) 254-2188
Practitioners & affiliated clinicians
Practitioners 3
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
- Saint Peters, MO
- NPI 1841187218
-
- Speech-Language Pathologist
- Saint Peters, MO
- NPI 1689467920
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638835200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1739750400000",
"number": "1952069841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 TENLYNN CT",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631241250",
"telephone_number": "915-603-7070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 TRIAD CENTER DR STE A",
"city": "SAINT PETERS",
"state": "MO",
"postal_code": "633767351",
"telephone_number": "314-254-2188",
"fax_number": "833-638-0807"
}
],
"practiceLocations": [
{
"address_1": "901 Tenlynn Ct",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631241250",
"country_code": "US",
"telephone_number": "915-603-7070",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "KMGP HOLDINGS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-12-07",
"last_updated": "2025-02-17",
"certification_date": "2025-02-17",
"status": "A",
"authorized_official_last_name": "COSTANZO",
"authorized_official_first_name": "ATTEA",
"authorized_official_title_or_position": "OWNER SPEECH THERAPIST",
"authorized_official_telephone_number": "915-603-7070",
"authorized_official_credential": "MS CCC-SLP"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Support@myfeedingfriends.com",
"affiliation": "N",
"endpointDescription": "Business email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "901 Tenlynn Ct",
"city": "Saint Louis",
"state": "MO",
"country_code": "US",
"postal_code": "631241250",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Feeding Friends Therapy Services",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Feeding Friends Therapy Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Saint Peters, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2025; 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.