AGB SPEECH THERAPY — NPI 1760900500 (Licensed & Credentialed Speech, Language and Hearing Service Providers in LAYTON, UT)

CMS-1500 Box 24J / 33a • NPI

1760900500

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

235Z00000X (CMS 15)

Licensed & Credentialed Speech, Language and Hearing Service Providers

Box 32 Service Location & ZIP+4

471 HERITAGE PARK BLVD STE 5, LAYTON, UT, 84041-5623

✓ 9-Digit EDI 837 ZIP+4 (84041-5623)

Practice Phone & Referral Fax

(501) 743-8497

Fax: (844) 854-4658

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1760900500 (AGB SPEECH THERAPY) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1760900500` (NPI-2 Organization / Facility)
Provider / Legal Name	AGB SPEECH THERAPY
Plain-English Specialty	Licensed & Credentialed Speech, Language and Hearing Service Providers NUCC Code: `235Z00000X` (Speech-Language Pathologist, )
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	471 HERITAGE PARK BLVD STE 5, LAYTON, UT, 84041-5623
Practice Telephone / Fax	Tel: (501) 743-8497 \| Fax: (844) 854-4658
Administrative Mailing Address	471 HERITAGE PARK BLVD STE 5, LAYTON, UT, 84041-5623
Enumeration & Last Sync	Enumerated: 2017-08-31 \| CMS Record Updated: 2022-07-21
Authorized Official	ASHLEY BONKOFSKY (Owner/President AGB Speech Therapy)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

471 HERITAGE PARK BLVD STE 5, LAYTON, UT, 84041-5623

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Plain-English Taxonomy & CMS Crosswalk (235Z00000X)

What Does Taxonomy Code 235Z00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 235Z00000X translates to:
"Licensed & Credentialed Speech, Language and Hearing Service Providers"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 15 (Speech Language Pathologist)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Speech-Language Pathologist, for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (AGB SPEECH THERAPY)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`235Z00000X` — Speech-Language Pathologist, Plain English: Licensed & Credentialed Speech, Language and Hearing Service Providers	State: UT \| License: `8951152-4102` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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AGB SPEECH THERAPY (NPI #1760900500)