Organization Active NPI

Alliance for Speech and Swallowing Rehabilitation LLC

  • Speech-Language Pathologist
  • Madison, AL
National Provider Identifier
1043835358
Registry record updated Oct 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
ALLIANCE FOR SPEECH AND SWALLOWING REHABILITATION LLC
Practice address
103 Spenryn Dr
Madison, AL 35758-1891
Phone
(256) 642-6495
NPI assigned
Jun 11, 2020
Last updated
Oct 27, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2021

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

Authorized official

Name
Mrs. Shermetra Rena Delaine Payton, MCD, CCC-SLPNPI 1144465931
Title
Chief Executive Manager
Phone
(256) 684-2124

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

103 Spenryn Dr
Madison, AL 35758-1891

Mailing address

103 Spenryn Dr
Madison, AL 35758-1891
Phone (256) 684-2124

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220118000409 AL Part B Supplier - Clinic/Group Practice 7113319567 Receives reassigned benefits from 1 practitioner
Practice locations: Madison, AL

National Provider Directory

National Provider Directory

Locations

103 Spenryn Dr
Madison, AL 35758
Phone (256) 642-6495

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1591833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635292800000",
    "number": "1043835358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 SPENRYN DR",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357581891",
            "telephone_number": "256-684-2124",
            "fax_number": "888-928-1029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 SPENRYN DR",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357581891",
            "telephone_number": "256-642-6495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE FOR SPEECH AND SWALLOWING REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-11",
        "last_updated": "2021-10-27",
        "certification_date": "2021-09-11",
        "status": "A",
        "authorized_official_last_name": "PAYTON",
        "authorized_official_first_name": "SHERMETRA",
        "authorized_official_middle_name": "RENA DELAINE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE MANAGER",
        "authorized_official_telephone_number": "256-684-2124",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MCD, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; 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.