MEDICARE: TRANSFORMATIVE COMMUNICATION THERAPY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1205723343
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRANSFORMATIVE COMMUNICATION THERAPY LLC

Provider Business Mailing Address
First Line	:	5200 MEADOWS RD
Second Line	:
City	:	LAKE OSWEGO
State	:	OR
Zip	:	97035-3202
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5200 MEADOWS RD
Second Line	:
City	:	LAKE OSWEGO
State	:	OR
Zip	:	97035-3202
Country	:	US
Telephone Number	:	971-258-0809
Fax Number	:

Authorized Official
Title or Position	:	PARTNER
Name	:	MEGANN MCGILL
Credential	:
Telephone Number	:	956-245-7000

Provider Enumeration Date	:	06/20/2025
Last Update Date	:	06/20/2025

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Directions to “TRANSFORMATIVE COMMUNICATION THERAPY LLC ” Practice Location

Language	Start Address	Practice Location

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