OrganizationActive
Interactive Therapy Services, Inc.
NPI 1215024468 · Speech-Language Pathologist · Maplewood, MN
Provider details
- NPI number
- 1215024468
- Entity type
- Organization
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Organization subpart
- No
- Authorized official
- Julie Ernest, Owner(651) 770-8884
- License
- 6402 (MN)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
2495 Maplewood Dr Ste 313
Maplewood, MN 55109-1913
Phone: (651) 770-8884
Street-level locationGet directions
Mailing address
2495 Maplewood Dr Ste 313
Maplewood, MN 55109-1985
Other names (DBA / former)
- Doing business as
- Functional Kids
Registry dates
- Enumerated
- 2006-10-09
- Last updated
- 2016-03-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.