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BLOOMINGTON PEDIATRIC SPEECH THERAPY LLC
NPI 1790571107
Speech-Language Pathologist in Bloomington, IL

Active since April 15, 2025
3002 GE RD STE 2, BLOOMINGTON, IL 61704(309) 530-6982 Get Directions Write a Review

NPPES record last updated: April 15, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Bloomington Pediatric Speech Therapy Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLOOMINGTON PEDIATRIC SPEECH THERAPY LLC (NPI 1790571107) is a healthcare organization registered as a speech-language pathologist in Bloomington, Illinois and active in the NPI registry since April 2025. The organization lists Leslie Garthaus, Speech-language Pathologist, as its authorized official.

NPPES Registry Identity

NPI1790571107
Entity TypeOrganization
Primary Taxonomy235Z00000X
Legal Business NameBLOOMINGTON PEDIATRIC SPEECH THERAPY LLC
Location Address3002 GE RD STE 2Bloomington, IL 61704-2502
Mailing Address26 Waterside CirBloomington, IL 61704-2921 · (309) 530-6982
Phone(309) 530-6982
Organization SubpartNo
Authorized OfficialLeslie GarthausSpeech-language Pathologist · (309) 530-6982
Enumeration DateApril 15, 2025
NPPES CertifiedApril 15, 2025
✔ NPI 1790571107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
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.
Also ListedClinic/Center · Hearing and SpeechTaxonomy 261QH0700X
3002 GE RD STE 2, Bloomington, IL 61704
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HANNAH HIGGINS
Speech-Language Pathologist
3002 GE RD STE 2
BLOOMINGTON, IL 61704
McLean County (309) 220-8641
BETHANY ROBERTS
Speech-Language Pathologist
3002 GE RD STE 2
BLOOMINGTON, IL 61704
McLean County (815) 252-1659

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bloomington Pediatric Speech Therapy LLC's NPI number?

The NPI number for Bloomington Pediatric Speech Therapy LLC is 1790571107. It was assigned to this organization in the NPPES registry on April 15, 2025.

Where is Bloomington Pediatric Speech Therapy LLC located?

Bloomington Pediatric Speech Therapy LLC is located at 3002 Ge Rd Ste 2, Bloomington, IL 61704. The listed phone number is (309) 530-6982.

What is Bloomington Pediatric Speech Therapy LLC's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Bloomington Pediatric Speech Therapy LLC was last updated on April 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.