Organization
SUMMIT THERAPY GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA ELIZABETH HOGAN M.S CCC-SLP (OWNER/SLP)
(970) 900-6930
Entity
Organization
Contact information
Practice address
7251 W 20TH ST UNIT G1, GREELEY, CO 80634-4626
(970) 900-6930
(970) 499-0576
Mailing address
4632 ECHO CIR, FORT COLLINS, CO 80526-4568
(617) 448-5633
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
2355S0801X
Speech-Language Assistant
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001175
STATE LICENSE
CO
01
—
12067828
ASHA CERTIFICATION
—
Enumeration date
02/15/2020
Last updated
04/02/2026
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