Northern Pediatric Therapy PLLC
NPI 1053178079 · Speech-Language Pathologist · Lake Ann, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Northern Pediatric Therapy PLLC is a Speech-Language Pathologist organization in Lake Ann, MI (NPI 1053178079).
Provider details
- NPI number
- 1053178079
- Entity type
- Organization
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Organization subpart
- No
- Authorized official
- Megan Downer, Speech Language Pathology(231) 577-9421
Specialties & taxonomies
Speech, Language and Hearing Service Providers
- Pediatric Physical Therapist2251P0200X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Pediatric Occupational Therapist225XP0200X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-03-05
- Last updated
- 2024-03-15
- Certified
- 2024-03-15
Frequently asked questions
- What is Northern Pediatric Therapy PLLC's NPI number?
- Northern Pediatric Therapy PLLC's National Provider Identifier (NPI) is 1053178079, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Northern Pediatric Therapy PLLC?
- Northern Pediatric Therapy PLLC is classified in the NPPES registry as Speech-Language Pathologist (Speech, Language and Hearing Service Providers).
- Where is Northern Pediatric Therapy PLLC located?
- Northern Pediatric Therapy PLLC's practice location on file with NPPES is 19080 Ridge View Ln, Lake Ann, MI 49650-9411.
- What is Northern Pediatric Therapy PLLC's phone number?
- The practice phone number listed in the NPPES registry for Northern Pediatric Therapy PLLC is (616) 706-2916.
- Does Northern Pediatric Therapy PLLC accept Medicare?
- Northern Pediatric Therapy PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Northern Pediatric Therapy PLLC?
- The authorized official listed on Northern Pediatric Therapy PLLC's NPPES record is Megan Downer, Speech Language Pathology. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Northern Pediatric Therapy PLLC's NPI active?
- Yes — Northern Pediatric Therapy PLLC's NPI (1053178079) is active in the NPPES registry as of the last update on 2024-03-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.