MIDWEST MYOFUNCTIONAL AND SPEECH THERAPY, LLC


Address: 7221 Engle Rd Ste 225, Fort Wayne, IN 46804-2229
Phone: 2604381430

MIDWEST MYOFUNCTIONAL AND SPEECH THERAPY, LLC (NPI# 1164080974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164080974
Entity Type Organization
Organization Name MIDWEST MYOFUNCTIONAL AND SPEECH THERAPY, LLC
Practice Address 7221 Engle Rd Ste 225
Fort Wayne
IN 46804-2229
Mailing Address 10909 W Sycamore Hills Dr
Fort Wayne
IN 46814-9335
Practice Telephone 2604381430
Mailing Telephone 2604381430
Enumeration Date 2019-06-05
Last Update Date 2019-06-05
Authorized Official Name JULIE A CARRICO (SPEECH-LANGUAGE PATHOLOGIST)
Authorized Official Telephone 2604381430
Authorized Official Credential SLP
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QH0700X Clinic/Center
Specialization: Hearing and Speech
Ambulatory Health Care Facilities

Office Location

Street Address 7221 ENGLE RD STE 225
City FORT WAYNE
State IN
Zip Code 46804-2229

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396350344 Derek Mumaw Physical Therapist 8420 Illinois Rd, Fort Wayne, IN 46804 2020-09-15
1942840228 Erin M Mason Behavior Technician 5601 Coventry Ln, Fort Wayne, IN 46804 2020-01-14
1346880879 Emily A Abdalla Behavior Technician 5601 Coventry Ln., Fort Wayne, IN 46804 2020-01-13
1083265433 Fort Wayne Endodontics Dentist 9407 Illinois Rd, Fort Wayne, IN 46804 2019-09-26
1689140949 Harrison Dental Group II, LLC Dentist 1333 Getz Rd, Fort Wayne, IN 46804 2018-10-15
1346731908 Erin Nicole Zimmerman Nurse Practitioner 10170 Illinois Rd # 14, Fort Wayne, IN 46804 2018-05-19
1417446022 Mary Harrington Physical Therapist 3320 Copper Hill Run, Fort Wayne, IN 46804 2018-05-09
1942701214 Joshawa Todd Torres Marriage & Family Therapist 5651 Coventry Ln # 116, Fort Wayne, IN 46804 2018-02-22
1194235408 Mitchell Kory Meyer Specialist/Technologist 9125 Yellow Tree Ct, Fort Wayne, IN 46804 2017-10-02
1902324916 Emily Rene Sagstetter Specialist/Technologist 6034 Liberty Glade Ct, Fort Wayne, IN 46804 2017-08-30
Find all providers in zip 46804

Taxonomy Information

Taxonomy Code 261QH0700X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Hearing and Speech

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, prescriptive, and therapy services related to congenital and acquired conditions and diseases that affect hearing capacity and speech ability.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1265093389 In Home Hearing Services, LLC Clinic/Center 2812 Waynewood Dr, Fort Wayne, IN 46809-2627 2019-06-28
1609486976 Summit Hearing Solutions,inc. Clinic/Center 927 E Dupont Rd, Fort Wayne, IN 46825-1551 2020-08-03
1104237916 Fort Wayne Audiology Consultants, LLC Clinic/Center 4720 E State Blvd, Fort Wayne, IN 46815-6923 2014-05-14
1013172980 Summit Speech & Language Care Inc Clinic/Center 3926 New Vision Dr, Fort Wayne, IN 46845-1712 2008-07-21

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1205433232 Northland Hearing Center, Inc. Clinic/Center 211 E High St, Mooresville, IN 46158-1639 2020-10-02
1831796846 Northland Hearing Center, Inc. Clinic/Center 1928 E 53rd St Ste B, Anderson, IN 46013-2832 2020-10-02
1720692718 Thrive Therapy Solutions Inc Clinic/Center 10316 Cotton Blossom Dr, Fishers, IN 46038-6558 2020-09-07
1831714831 Absolute Therapy, LLC Clinic/Center 14808 Braemar Ave E, Noblesville, IN 46062-4100 2020-06-15
1124659388 Regroup Communication Therapy Clinic/Center 160 W Carmel Dr Ste 245, Carmel, IN 46032-2588 2020-01-27
1790347862 Choice Hearing Centers Clinic/Center 110 E Carmel Dr, Carmel, IN 46032-2633 2019-06-28
1891352092 Livingston Audiology, PC Clinic/Center 2825 Elmwood Ave, Lafayette, IN 47904-1701 2019-05-22
1326508748 Northland Hearing Centers, Inc Clinic/Center 103 Morthland Dr Ste 3, Valparaiso, IN 46383-6209 2019-03-21
1962923037 Corydon Hearing Clinic LLC Clinic/Center 341 E Chestnut St, Corydon, IN 47112-1201 2017-06-29
1689093825 Liberty-perry Community Schools Clinic/Center 105 South County Road 650 East, Selma, IN 47383-0337 2014-04-15
Find all providers with the same taxonomy

Competitor

Search similar providers

City FORT WAYNE
Zip Code 46804

Improve Information

Please comment or provide details below to improve the information on MIDWEST MYOFUNCTIONAL AND SPEECH THERAPY, LLC.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches