Madison Thielen

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP14142 Issued in AZ

Practice address

1585 N 113TH Ave Ste 102
Avondale, AZ 85392-3938

Phone

(623) 259-9819

NPI assigned

Sep 26, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• T.E.a.M. 4 Kids, LLC

  • Pediatric Occupational Therapist
  • Surprise, AZ
  • NPI 1386988723

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1033833868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2529 N HAYDEN RD UNIT 1002",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852572370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1585 N 113TH AVE STE 102",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853923938",
            "telephone_number": "623-259-9819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIELEN",
        "first_name": "MADISON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-26",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP14142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Least of LLC.
• The Little Clinic of Arizona LLC
• The Little Clinic of Arizona LLC
• Robin K Theis, L.AC
• Therapeutic Arts of Massage & Bodywork LLC
• Thomas Healthcare
• Kathryn Thompson-McKinney, LPN
• Shelby Thron
• Leah Thurber, RD
• Kay Thwaites

• Speech-Language Pathologist in Avondale, AZ
• Providers in Avondale, AZ by specialty
• Speech-Language Pathologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.