Individual provider Active NPI

Emily Trick, SLP

  • Speech-Language Pathologist
  • Greenville, OH
National Provider Identifier
1023697737
Registry record updated May 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP.13997 Issued in OH
Practice address
1101 Jackson St
Greenville, OH 45331-1395
Phone
(937) 547-2319
NPI assigned
Apr 8, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP.13997 OH Primary

Addresses

Primary practice location

1101 Jackson St
Greenville, OH 45331-1395

Mailing address

1498 N Broadway St
Greenville, OH 45331-2454

Other practice location 1

1498 N Broadway St
Greenville, OH 45331-2454
Phone (937) 548-2317

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL N/A

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210510002663 OH Practitioner - Qualified Speech Language Pathologist 3274942974 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Services of Darke County, Inc. CurrentSince May 7, 2024 Accepting new patients
Family Health Services of Darke County, Inc. CurrentSince May 7, 2024 Accepting new patients
Grow With Me SLP LLC Speech-Language Pathologist Current Accepting new patients
Family Health Services of Darke County Inc Current Accepting new patients
Keystone Rehabilitation Systems, Inc. CurrentSince Mar 1, 2021 Accepting new patients
Keystone Rehabilitation Systems Inc CurrentSince Mar 1, 2021 Accepting new patients
Family Health Services of Darke County Inc Past Accepting new patients
Family Health Services of Darke County, Inc. Past Accepting new patients

Locations

702 N Main St
Arcanum, OH 45304
Phone (937) 548-1141

1498 N Broadway St
Greenville, OH 45331
Phone (937) 458-9495

5735 Meeker Rd
Greenville, OH 45331
Phone (937) 548-3806

1101 Jackson St
Ste C
Greenville, OH 45331
Phone (937) 547-2319

10484 Kley Rd
Versailles, OH 45380
Phone (937) 526-3016

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1617840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1023697737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1498 N BROADWAY ST",
            "city": "GREENVILLE",
            "state": "OH",
            "postal_code": "453312454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 JACKSON ST",
            "city": "GREENVILLE",
            "state": "OH",
            "postal_code": "453311395",
            "telephone_number": "937-547-2319"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1498 N Broadway St",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "OH",
            "postal_code": "453312454",
            "country_code": "US",
            "telephone_number": "937-548-2317",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRICK",
        "first_name": "EMILY",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-08",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP.13997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "N/A",
            "affiliation": "N",
            "address_1": "1498 N Broadway St",
            "city": "Greenville",
            "state": "OH",
            "country_code": "US",
            "postal_code": "453312454",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greenville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.