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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QH0700X |
Clinic/Center Specialization: Hearing and Speech |
Ambulatory Health Care Facilities |
Street Address |
7221 ENGLE RD STE 225 |
City | FORT WAYNE |
State | IN |
Zip Code | 46804-2229 |
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 Code | 261QH0700X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Hearing and Speech |
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] |
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 |
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 |
City | FORT WAYNE |
Zip Code | 46804 |
Please comment or provide details below to improve the information on MIDWEST MYOFUNCTIONAL AND SPEECH THERAPY, LLC.
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.