Speakeasy Therapy Services, LLC
NPI 1114315801ActiveOrganization· Speech-Language Pathologist· Las Vegas, NV
Speech-Language Pathologist in Las Vegas, Nevada, registered in NPPES in January 2015. The authorized official on file is Kelley R. Carter, MS, CCC-SLP, COM, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1114315801 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 2, 2015 |
| Last updated in NPPES | Aug 19, 2024 |
| Certified by provider | Aug 19, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | NV20141234749 | NV |
| Occupational Therapist | 225X00000X | NV20141234749 | NV |
| Occupational Therapist, Neurorehabilitation | 225XN1300X | NV20141234749 | NV |
| Occupational Therapist, Physical Rehabilitation | 225XP0019X | NV20141234749 | NV |
| Occupational Therapist, Pediatrics | 225XP0200X | NV20141234749 | NV |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NV) |
|---|
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