FAMILY SPEECH & THERAPY SERVICES, LLC (NPI# 1235285966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235285966 |
| Entity Type | Organization |
| Organization Name | FAMILY SPEECH & THERAPY SERVICES, LLC |
| Other Organization Name | SORA PEDIATRIC THERAPY |
| Practice Address |
1891 Station Pkwy Nw Andover MN 55304 |
| Practice Telephone | 7637554275 |
| Practice Fax Number | 7637554261 |
| Mailing Telephone | 7637554275 |
| Mailing Fax Number | 7637554261 |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2019-01-07 |
| Authorized Official Name | MELISSA SUE LONSKY (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 6128170306 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities | ||
| Y | 235Z00000X | Speech-Language Pathologist | 7012 | MN | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | HEALTHPARTNERS | 99915 | 01 |
| MN | PREFERRED ONE | 01043879 | 01 |
| MN | BLUE CROSS BLUE SHIELD | 73G75FA | 01 |
| MN | 150165800 | 05 |
| Other Name | Type Code |
|---|---|
| Family Speech & Therapy Services | Doing Business As Name - Organization |
| Sora Pediatric Therapy | Doing Business As Name - Organization |
| Street Address |
1891 STATION PKWY NW |
| City | ANDOVER |
| State | MN |
| Zip Code | 55304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154388510 | Nancy Mathis | Speech-Language Pathologist | 1891 Station Pkwy Nw, Andover, MN 55304-4259 | 2006-04-28 |
| 1780285072 | Andrea Christ | Speech-Language Pathologist | 1891 Station Pkwy Nw, Andover, MN 55304-3341 | 2020-11-04 |
| 1205434354 | Courtney Konop | Physical Therapist | 1891 Station Pkwy Nw, Andover, MN 55304-3341 | 2020-10-12 |
| 1316545460 | Kelly Josephine Hanlon | Occupational Therapist | 1891 Station Pkwy Nw, Andover, MN 55304-3341 | 2020-10-12 |
| 1831797984 | Mary Rachael Gabrelcik | Occupational Therapist | 1891 Station Pkwy Nw, Andover, MN 55304-3341 | 2020-10-12 |
| 1235741604 | Amy Brisson | Speech-Language Pathologist | 1891 Station Pkwy Nw, Andover, MN 55304-3341 | 2020-08-18 |
| 1528693785 | Alissa Bartholomew | Occupational Therapist | 1891 Station Pkwy Nw, Andover, MN 55304-3341 | 2020-03-09 |
| 1376178442 | Jaidyn Johnson | Occupational Therapist | 1891 Station Pkwy Nw, Andover, MN 55304-3341 | 2020-03-09 |
| 1518592625 | Elsie Mcclelland | Occupational Therapist | 1891 Station Pkwy Nw, Andover, MN 55304-3341 | 2020-03-09 |
| 1215560453 | Ariel Blanchette | Occupational Therapist | 1891 Station Pkwy Nw, Andover, MN 55304-3341 | 2020-02-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114402211 | Sarah Sue Anderson | Speech-Language Pathologist | 1891 Station Pkwy, Andover, MN 55304 | 2018-09-25 |
| 1306354329 | Jennifer Lynn Larkey I | Counselor | 1875 Station Parkway N.w. Andover, Mn 55304, Andover, MN 55304 | 2018-01-11 |
| 1124544895 | Msp Dentistry Inc | Preferred Provider Organization | 13650 Hanson Blvd., Suite #110, Andover, MN 55304 | 2017-08-15 |
| 1912427931 | Brooke Nicole Halliday | Counselor | 1875 Station Pkwy Ne, Andover, MN 55304 | 2017-06-21 |
| 1700286903 | Jari Welle, Inc. | Marriage & Family Therapist | 1328 Mckay Drive Ne, Suite 100, Ham Lake, MN 55304 | 2014-08-26 |
| 1356765192 | Cherrywood Advanced Living, LLC | Assisted Living Facility | 1889 139th Ave Nw, Andover, MN 55304 | 2014-02-14 |
| 1326462177 | Cherrywood Advanced Living, LLC | Assisted Living Facility | 1899 139th Ave Nw, Andover, MN 55304 | 2014-02-14 |
| 1740619568 | Delores Weikle | Physical Therapist | 14531 Jay St, Andover, MN 55304 | 2013-11-02 |
| 1730527003 | Darkou Care Services | Home Health | 14297 Zilla Street Nw, Andover, MN 55304 | 2013-06-10 |
| 1770927758 | Arbor Oaks Senior Living | Assisted Living Facility | 1640 155th Lane Nw, Andover, MN 55304 | 2013-04-22 |
| Find all providers in zip 55304 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386119956 | Bethann Deleo | Speech-Language Pathologist | 18 Wabanaki Way, Andover, MA 01810-5513 | 2018-10-09 |
| 1114402211 | Sarah Sue Anderson | Speech-Language Pathologist | 1891 Station Pkwy, Andover, MN 55304 | 2018-09-25 |
| 1083100549 | Chelsea Burdick | Speech-Language Pathologist | 4252 County Road 12, Andover, NY 14806 | 2018-07-09 |
| 1770941106 | Sofia Mourmoutis | Speech-Language Pathologist | 1 Archer Ln, Andover, MA 01810-5701 | 2016-01-30 |
| 1659629145 | Margot E Kelman | Speech-Language Pathologist | 123 S Putter Dr, Andover, KS 67002-8823 | 2012-08-15 |
| 1679876528 | Nora H Jassak | Speech-Language Pathologist | 260 Fisher Rd, Andover, NY 14806-9626 | 2010-12-15 |
| 1740437276 | Jennifer Austin Smith | Speech-Language Pathologist | 3135 Elm Street, Andover, NY 14806 | 2008-08-27 |
| 1568623742 | Nicole Marie Fritzky | Speech-Language Pathologist | 32 Crescent Dr S, Andover, NJ 07821-4006 | 2008-06-20 |
| 1679788707 | Audrey S. Rubin | Speech-Language Pathologist | 12 Rose Glen Dr, Andover, MA 01810-4704 | 2007-05-11 |
| 1942336151 | Mary T Behl | Speech-Language Pathologist | 44 Park St, 3rd Floor, Andover, MA 01810-3692 | 2007-02-24 |
| Find all providers in ANDOVER | ||||
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| 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.