| Speakeasy Therapies & Fitness Llc | |
|
2718 Sutton Blvd, Maplewood, MO 63143-3036 | |
| (314) 246-0751 | |
| (314) 754-9926 |
| Full Name | Speakeasy Therapies & Fitness Llc |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 2718 Sutton Blvd, Maplewood, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326744467 | NPI | - | NPPES |
| M53210784658 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
| Provider Name | Celia Grace Montes-kolence |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1871989590 PECOS PAC ID: 2466762158 Enrollment ID: I20151109002235 |
| Provider Name | Megan Gallo |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326453804 PECOS PAC ID: 0941666762 Enrollment ID: I20230522002006 |
| Provider Name | Megan Joy Bigley |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1730746934 PECOS PAC ID: 8921465063 Enrollment ID: I20230606001656 |
| Provider Name | Margaret Cromien |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396510673 PECOS PAC ID: 1951754092 Enrollment ID: I20240125001111 |
| Provider Name | Emily Ruyle |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003670795 PECOS PAC ID: 3072959303 Enrollment ID: I20240308003613 |
| Mailing Address | Practice Location Address |
|---|---|
| Speakeasy Therapies & Fitness Llc 2718 Sutton Blvd, Saint Louis, MO 63143-3036 Ph: (314) 348-7327 | Speakeasy Therapies & Fitness Llc 2718 Sutton Blvd, Maplewood, MO 63143-3036 Ph: (314) 246-0751 |
Mrs. Cynthia Louise Mcclurg, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 7281 Sarah St, Maplewood, MO 63143 Phone: 314-932-1051 | |
Jill Kathleen Barker, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 7323 Gayola Pl, Maplewood, MO 63143 Phone: 314-781-2497 Fax: 314-781-2497 | |
Andrew Meade Flynn, M.A. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 7464 Maple Ave, Maplewood, MO 63143 Phone: 910-619-8565 Fax: 866-453-9441 | |
Megan Joy Bigley, MA CCC SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 2718 Sutton Blvd, Maplewood, MO 63143 Phone: 314-246-0751 | |
Leslie Fortner, MHS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2233 Yale Ave, Maplewood, MO 63143 Phone: 636-485-8240 |