PERSONAL THERAPY GROUP, LLC (NPI# 1730318288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730318288 |
| Entity Type | Organization |
| Organization Name | PERSONAL THERAPY GROUP, LLC |
| Practice Address |
100 E 9th St Mountain Home AR 72653 |
| Mailing Address |
Po Box 2518 Mountain Home AR 72654-2518 |
| Practice Telephone | 8704045870 |
| Practice Fax Number | 8704243208 |
| Mailing Telephone | 8704045870 |
| Mailing Fax Number | 8704243208 |
| Enumeration Date | 2009-07-06 |
| Last Update Date | 2016-08-20 |
| Authorized Official Name | MRS. SARAH ELLEN BLAGG (SPEECH-LANGUAGE PATHOLOGIST/OWNER) |
| Authorized Official Telephone | 8704045870 |
| Authorized Official Credential | M.S., CCC-SLP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 222Q00000X | Developmental Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 177740742 | 05 |
| Street Address |
100 E 9TH ST |
| City | MOUNTAIN HOME |
| State | AR |
| Zip Code | 72653 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538790779 | Caroline Rebekah Sloan | Occupational Therapy Assistant | 100 E 9th St, Mountain Home, AR 72653-4704 | 2020-01-27 |
| 1730735648 | Caroline Ashton Fruehauf | Physical Therapy Assistant | 100 E 9th St, Mountain Home, AR 72653-4704 | 2019-08-15 |
| 1528539228 | Bayley Renee Plumlee | Speech-Language Pathologist | 100 E 9th St, Mountain Home, AR 72653-4704 | 2018-12-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619513934 | Maranda Hickman | Physical Therapy Assistant | 347 Hwy 62 East College Plaza, Mountain Home, AR 72653 | 2019-11-21 |
| 1659929156 | Gale E Bacan | Technician | 1703 Monroe Ave, Mountain Home, AR 72653 | 2019-08-28 |
| 1891259321 | Kidspiration Pediatric Therapy Services | Clinic/Center | 710 Bradley Dr., Mountain Home, AR 72653 | 2019-01-29 |
| 1093279275 | Piper's Vision Xpress, LLC | Optometrist | 50 Paul Wood Lane, Mountian Home, AR 72653 | 2019-01-22 |
| 1346769155 | Heather Bollinger | Nurse Practitioner | 65 Walmart Drive, C/o Clinic At Walmart, Mountain Home, AR 72653 | 2017-09-12 |
| 1447774989 | Natalie D Ahrent | Physical Medicine & Rehabilitation | 804 Coley Dr, Mountain Home, AR 72653 | 2017-07-26 |
| 1417486028 | Andrew David Hatman | Case Manager/Care Coordinator | 1349 Hampshire Circle, Mountain Home, AR 72653 | 2017-06-07 |
| 1568848315 | Taylor Chiropractic Plc | Health Maintenance Organization | 103 S Main St Ste 5, Mountain Home, AR 72653 | 2015-08-04 |
| 1942606306 | Harps Food Stores, Inc | Pharmacy | 2089 Highway 62 West, Mountain Home, AR 72653 | 2014-11-13 |
| 1972920726 | Lavonne Armstrong | Counselor | 8 Medical Plaza, Mountain Home, AR 72653 | 2014-03-18 |
| Find all providers in zip 72653 | ||||
| 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 |
|---|---|---|---|---|
| 1831559129 | Leslie Teague | Speech-Language Pathologist | 2346 County Road 15, Mountain Home, AR 72653-6463 | 2016-02-29 |
| 1972979698 | Rachel Esther Theofanis | Speech-Language Pathologist | 415 W 2nd N, Mountain Home, ID 83647-2548 | 2015-08-17 |
| 1770905374 | Casey Erin Drennin | Speech-Language Pathologist | 400 S College St Ste 3, Mountain Home, AR 72653-3991 | 2014-01-16 |
| 1174815211 | Patrick Jonathan Henley | Speech-Language Pathologist | Corner of Lamont and Veterans' Way, 126, Mountain Home, TN 37684-4000 | 2011-05-09 |
| 1710127543 | Georgia Gail Sykes | Speech-Language Pathologist | 105 Cypress Cir, Mountain Home, AR 72653-8778 | 2009-03-06 |
| 1427203520 | Susan L Allen | Speech-Language Pathologist | 3011 E 1st St, Mountain Home, AR 72653-3700 | 2008-11-18 |
| 1609021716 | Dana L Sitkowski | Speech-Language Pathologist | 62 Magnolia Ct, Mountain Home, AR 72653-8776 | 2008-11-18 |
| 1558516658 | Marcie A Burnham | Speech-Language Pathologist | 78 Rock Creek Dr, Mountain Home, AR 72653-5851 | 2008-11-18 |
| 1497921035 | Lisa Mary Adamson | Speech-Language Pathologist | 955 Ne Union St, Mountain Home, ID 83647-4803 | 2008-05-04 |
| 1275707242 | Anna Gale Estes-waddell | Speech-Language Pathologist | 1653 Se Hamilton Rd, Mountain Home, ID 83647-5858 | 2008-04-21 |
| Find all providers in MOUNTAIN HOME | ||||
| City | MOUNTAIN HOME |
| Zip Code | 72653 |
Please comment or provide details below to improve the information on PERSONAL THERAPY GROUP, 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.