Active NPI
Tracy Routh, MA, CCC-SLP
- Speech-Language Pathologist
- Missoula, MT
National Provider Identifier
1972197051
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP-SP-LIC-9626
- Practice address
- 2651 South Ave W
Missoula, MT 59804-6405 - Phone
- (406) 728-9162
- NPI assigned
- Mar 1, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP-SP-LIC-9626 | MT | Primary |
Addresses
Primary practice location
2651 South Ave W
Missoula, MT 59804-6405
Mailing address
210 S Lamro St
Winner, SD 57580-1617
Phone (605) 840-0631
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP-SP-LIC-9626 | MT | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614556800000",
"number": "1972197051",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 S LAMRO ST",
"city": "WINNER",
"state": "SD",
"postal_code": "575801617",
"telephone_number": "605-840-0631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2651 SOUTH AVE W",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598046405",
"telephone_number": "406-728-9162"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROUTH",
"first_name": "TRACY",
"credential": "MA, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-01",
"last_updated": "2021-03-01",
"certification_date": "2021-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MT",
"license": "SLP-SP-LIC-9626",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Missoula, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.