Individual provider Active NPI

Katherine Marie Wright, CCC-SLP

  • Speech-Language Pathologist
  • East Liverpool, OH
National Provider Identifier
1043627250
Registry record updated Apr 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP11946 Issued in OH
Practice address
709 Armstrong LN
East Liverpool, OH 43920-1245
Phone
(304) 387-0101
NPI assigned
Jul 20, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP11946 OH Primary
Speech-Language Pathologist 235Z00000X COND.2014307-SP OH

Addresses

Primary practice location

709 Armstrong LN
East Liverpool, OH 43920-1245

Mailing address

709 Armstrong LN
East Liverpool, OH 43920-1245

Other practice location 1

2910 Lermitage Pl
Stow, OH 44224-5219
Phone (330) 688-1188

Other names 1

  • Miss Katherine Marie McIntosh Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220406002153 OH Practitioner - Qualified Speech Language Pathologist 3375939010 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aegis Group Practice LLCGroup PAC ID 5193036432, 399 clinicians

Practice addresses (Care Compare)

937 E Park Ave
Columbiana, OH 44408-1451
Phone (800) 444-6845

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
COND.2014307-SPOHMDSpeech-Language Pathologist
SP11946OHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Aegis Group Practice LLC Speech-Language Pathologist Current Accepting new patients
Aegis Group Practice LLC Speech-Language Pathologist CurrentSince Mar 24, 2022 Accepting new patients
Aegis Group Practice LLC Speech-Language Pathologist CurrentSince Mar 24, 2022 Accepting new patients

Locations

4933 Old Greenwood Rd
Fort Smith, AR 72903

Organizations & group practices 3

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": "1405814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649030400000",
    "number": "1043627250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 ARMSTRONG LN",
            "city": "EAST LIVERPOOL",
            "state": "OH",
            "postal_code": "439201245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 ARMSTRONG LN",
            "city": "EAST LIVERPOOL",
            "state": "OH",
            "postal_code": "439201245",
            "telephone_number": "304-387-0101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2910 Lermitage Pl",
            "address_purpose": "LOCATION",
            "city": "Stow",
            "state": "OH",
            "postal_code": "442245219",
            "country_code": "US",
            "telephone_number": "330-688-1188",
            "fax_number": "330-688-1278",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "KATHERINE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-20",
        "last_updated": "2022-04-04",
        "certification_date": "2022-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP11946",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "COND.2014307-SP",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "MCINTOSH",
            "middle_name": "MARIE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in East Liverpool, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.