FAMILY SPEECH & THERAPY SERVICES, LLC


Address: 1891 Station Pkwy Nw, Andover, MN 55304
Phone: 7637554275

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

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 Provider/Organization Names

Other Name Type Code
Family Speech & Therapy Services Doing Business As Name - Organization
Sora Pediatric Therapy Doing Business As Name - Organization

Office Location

Street Address 1891 STATION PKWY NW
City ANDOVER
State MN
Zip Code 55304

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 235Z00000X
Grouping Speech, Language and Hearing Service Providers
Classification Speech-Language Pathologist

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City ANDOVER
Zip Code 55304

Improve Information

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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.

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