MB THERAPY (NPI# 1417359431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417359431 |
| Entity Type | Organization |
| Organization Name | MB THERAPY |
| Practice Address |
5401c Jackson St Alexandria LA 71303-2322 |
| Practice Telephone | 3182780740 |
| Mailing Telephone | 3182780740 |
| Enumeration Date | 2014-09-22 |
| Last Update Date | 2014-09-22 |
| Authorized Official Name | MRS. MEGAN BOLTON (OWNER) |
| Authorized Official Telephone | 3182780740 |
| Authorized Official Credential | SLP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1629065 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | MB THERAPY GROUP INC. | 22 W Dean Ave, Eugene, OR 97404 |
| Street Address |
5401C JACKSON ST |
| City | ALEXANDRIA |
| State | LA |
| Zip Code | 71303-2322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346877370 | Victoria Bowie | Peer Specialist | 1405 Peterman Drive Suite A, Alexandria, LA 71303 | 2020-03-27 |
| 1396375051 | Christin Authement | Social Worker | 8326 Kelwood Avenue, Alexandria, LA 71303 | 2020-01-22 |
| 1164904520 | Carissa A Sorenson | Pharmacist | 4448 Jackson St, Alexandria, LA 71303 | 2018-09-02 |
| 1144731027 | Bradly Herman | Counselor | 1450 Peterman Drive, Alexandria, LA 71303 | 2017-10-18 |
| 1669991915 | Rashika Holmes | Counselor | 1538 Chase Dr, Alexandria, LA 71303 | 2017-09-18 |
| 1215466594 | Terraniecya Shepherd | Case Manager/Care Coordinator | 700 Veterans Dr. Apt. 608, Alexandria, LA 71303 | 2017-06-08 |
| 1427587864 | Jason Micheal Lachica | Counselor | 3921 Indpendence Drive Ste 104, Alexandria, LA 71303 | 2017-06-08 |
| 1669929188 | Ryan Knoll | Chiropractor | 5419 Jackson St. Ext. Suite B, Alexandria, LA 71303 | 2016-09-01 |
| 1023464393 | Heart of Hospice, LLC | Hospice Care, Community Based | 1001 Bayou Pl, Alexandria, LA 71303 | 2016-05-05 |
| 1770947764 | Jiquiah White | Counselor | 2016 Innis Dr, Alexandria, LA 71303 | 2016-04-06 |
| Find all providers in zip 71303 | ||||
| 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 |
|---|---|---|---|---|
| 1730789090 | Leah Condemi | Speech-Language Pathologist | 1602 Belle View Blvd # 735, Alexandria, VA 22307-6531 | 2020-10-27 |
| 1902412455 | Karman Paige Reese | Speech-Language Pathologist | 5616 Clermont Dr, Alexandria, VA 22310-1354 | 2020-09-21 |
| 1740892116 | Corey Shanice Gwynn | Speech-Language Pathologist | 5800 Quantrell Ave Apt 912, Alexandria, VA 22312-2787 | 2020-08-18 |
| 1609487396 | Arynn Simone Byrd | Speech-Language Pathologist | 8101 Hinson Farm Rd Ste 118, Alexandria, VA 22306-3404 | 2020-08-14 |
| 1720698681 | The Cyber Slp LLC | Speech-Language Pathologist | 4650 Kell Ln, Alexandria, VA 22311-4917 | 2020-08-05 |
| 1073139473 | Arielle Gates | Speech-Language Pathologist | 421 E Custis Ave, Alexandria, VA 22301-1203 | 2020-06-22 |
| 1104449586 | Dana A Chung | Speech-Language Pathologist | 3539 S George Mason Dr Apt 124, Alexandria, VA 22302-1064 | 2020-05-20 |
| 1467074385 | Courtney Smothers | Speech-Language Pathologist | 2816 Madonna Dr, Alexandria, LA 71301-4914 | 2020-05-13 |
| 1932720935 | Valerie Scarano | Speech-Language Pathologist | 3719 Holmes Ln, Alexandria, VA 22302-2012 | 2020-04-30 |
| 1285272062 | Slayter Therapy Services | Speech-Language Pathologist | 1915a Gus Kaplan Dr, Alexandria, LA 71301-3355 | 2019-12-12 |
| Find all providers in ALEXANDRIA | ||||
| City | ALEXANDRIA |
| Zip Code | 71303 |
Please comment or provide details below to improve the information on MB THERAPY.
| 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.