MEDICARE: EMPOWER SPEECH 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	:	1396610218
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EMPOWER SPEECH THERAPY LLC

Provider Business Mailing Address
First Line	:	9901 TRAILWOOD DR APT 1105
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89134-5924
Country	:	US
Telephone Number	:	209-640-0880
Fax Number	:	725-910-0911

Provider Business Practice Location Address
First Line	:	9901 TRAILWOOD DR APT 1105
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89134-5924
Country	:	US
Telephone Number	:	209-640-0880
Fax Number	:	725-910-0911

Authorized Official
Title or Position	:	OWNER/SLP
Name	:	JOSEPH MARTIN
Credential	:	M.A., CCC-SLP
Telephone Number	:	209-640-0880

Provider Enumeration Date	:	10/09/2025
Last Update Date	:	06/12/2026

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Directions to “EMPOWER SPEECH THERAPY LLC ” Practice Location

Language	Start Address	Practice Location

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