NPI 1265898696 · live from the CMS NPI Registry
Advanced Therapy Clinic LLC
Speech-Language Pathologist, in Billings, MT. National Provider Identifier 1265898696, active.
NPI record
| NPI | 1265898696 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 1701 Avenue E Ste A, Billings, MT 59102 |
| Practice phone | 406-690-6990 |
| Enumerated | January 14, 2016 |
| Last updated | January 8, 2025 |
| Authorized official | Adeena Jacobson, Owner/Clinician |
| Other names | Advanced Therapy Clinic |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst | 103K00000X | — |
| Physical Therapist, Pediatrics | 2251P0200X | — |
| Occupational Therapist, Pediatrics | 225XP0200X | — |
| Speech-Language Pathologist, primary | 235Z00000X | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.