Organization Active NPI

Maximum Potential Speech Therapy Services LLC

  • Speech-Language Pathologist
  • Saraland, AL
National Provider Identifier
1962158360
Registry record updated Feb 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
MAXIMUM POTENTIAL SPEECH THERAPY SERVICES LLC
Practice address
120 Bernard St
Saraland, AL 36571-2031
Phone
(251) 581-2341
NPI assigned
Feb 23, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2022

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

Authorized official

Name
Mrs. Monique E Jackson
Title
Owner
Phone
(251) 581-2341

Specialties & licenses 1

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

Addresses

Primary practice location

120 Bernard St
Saraland, AL 36571-2031

Mailing address

120 Bernard St
Saraland, AL 36571-2031
Phone (251) 581-2341

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Info@maxpspeechtherapy.com

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: info@maxpspeechtherapy.com

NPI Registry JSON

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

{
    "created_epoch": "1645574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645574400000",
    "number": "1962158360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 BERNARD ST",
            "city": "SARALAND",
            "state": "AL",
            "postal_code": "365712031",
            "telephone_number": "251-581-2341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 BERNARD ST",
            "city": "SARALAND",
            "state": "AL",
            "postal_code": "365712031",
            "telephone_number": "251-581-2341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXIMUM POTENTIAL SPEECH THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-23",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "MONIQUE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "251-581-2341",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Info@maxpspeechtherapy.com",
            "affiliation": "N",
            "address_1": "120 Bernard St",
            "city": "Saraland",
            "state": "AL",
            "country_code": "US",
            "postal_code": "365712031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saraland, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.