INNOVATIVE SPEECH THERAPY, LLC
NPI 1821251810
Speech-Language Pathologist in Phoenix, AZ

Active since July 09, 2008
2017 W TALLGRASS TRL, PHOENIX, AZ 85085(602) 703-0613 Get Directions Write a Review

NPPES record last updated: July 9, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Innovative Speech Therapy, Llc NPPES

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

INNOVATIVE SPEECH THERAPY, LLC (NPI 1821251810) is a healthcare organization registered as a speech-language pathologist in Phoenix, Arizona and active in the NPI registry since July 2008. The organization lists Angela Nicole Heaton, Co-president, as its authorized official.

NPPES Registry Identity

NPI1821251810
Entity TypeOrganization
Primary Taxonomy235Z00000X
Legal Business NameINNOVATIVE SPEECH THERAPY, LLC
Location Address2017 W TALLGRASS TRLPhoenix, AZ 85085-2795
Mailing Address2017 W Tallgrass TrlPhoenix, AZ 85085-2795 · (602) 703-0613
Organization SubpartNo
Authorized OfficialAngela Nicole HeatonCo-president · (602) 703-0613
Enumeration DateJuly 9, 2008
✔ NPI 1821251810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in AZ · SLP4771
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.
2017 W TALLGRASS TRL, Phoenix, AZ 85085

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Innovative Speech Therapy, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Innovative Speech Therapy, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Qualified Speech Language Pathologist
NPI 1588746614
6029 E PARADISE LN
Scottsdale, AZ 85254
(602) 703-0613
12 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Innovative Speech Therapy, LLC's NPI number?

The NPI number for Innovative Speech Therapy, LLC is 1821251810. It was assigned to this organization in the NPPES registry on July 9, 2008.

Where is Innovative Speech Therapy, LLC located?

Innovative Speech Therapy, LLC is located at 2017 W Tallgrass Trl, Phoenix, AZ 85085. The listed phone number is (602) 703-0613.

What is Innovative Speech Therapy, LLC's specialty?

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

Is Innovative Speech Therapy, LLC enrolled in Medicare?

Yes. Innovative Speech Therapy, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Innovative Speech Therapy, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Qualified Speech Language Pathologist) reassigns their Medicare billing to Innovative Speech Therapy, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Innovative Speech Therapy, LLC was last updated on July 9, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.