Rex Clifton Gardner, M.A., PHD

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

1107 Belle View Blvd Apt B1
Alexandria, VA 22307-6629

Phone

(202) 739-1380

NPI assigned

Dec 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Rex Gardner Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts, Doctor of Philosophy

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.

• Alpha Bellmont LLC

  • Speech-Language Pathologist
  • Alexandria, VA
  • NPI 1972916534
  NPD (past) Authorized official
• Alpha Belmont LLC

  • Speech-Language Pathologist
  • Alexandria, VA
  • NPI 1356762868
  NPD (past) Authorized official

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463011200000",
    "number": "1043378375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 S LA BREA AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900196905",
            "telephone_number": "213-457-3387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 BELLE VIEW BLVD APT B1",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223076629",
            "telephone_number": "202-739-1380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "REX",
        "middle_name": "CLIFTON",
        "name_prefix": "Dr.",
        "credential": "M.A., PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2016-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REX",
            "last_name": "GARDNER",
            "prefix": "DR.",
            "credential": "BS, MA, PHD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Paola Garcia
• Polly Jo Garcia, LPC
• Charles William Gardner Jr., M.D.
• Heather Rhodes Gardner
• Kevin Gregory Gardner, MT
• Getahun Garede
• Keva Garg, M.D.
• Shaila Garg, M.D.
• Jeanine Marie Gargiulo, PA-C
• Philip P. Garrett, DPM

• Speech-Language Pathologist in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Speech-Language Pathologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2016; 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.