MEDICARE: UNLOCKING SKILLS THERAPY GROUP 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	:	1932068889
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNLOCKING SKILLS THERAPY GROUP LLC

Provider Business Mailing Address
First Line	:	38 SALEM DR
Second Line	:
City	:	NORTH PROVIDENCE
State	:	RI
Zip	:	02904-5217
Country	:	US
Telephone Number	:	401-574-6496
Fax Number	:

Provider Business Practice Location Address
First Line	:	38 SALEM DR
Second Line	:
City	:	NORTH PROVIDENCE
State	:	RI
Zip	:	02904-5217
Country	:	US
Telephone Number	:	401-574-6496
Fax Number	:

Authorized Official
Title or Position	:	SPEECH LANGUAGE PATHOLOGIST/OWNER
Name	:	VANESSA REYES
Credential	:	MS CCC-SLP
Telephone Number	:	401-574-6496

Provider Enumeration Date	:	01/16/2026
Last Update Date	:	01/16/2026

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