Alliance for Speech and Swallowing Rehabilitation LLC
Organization Active NPI Speech-Language Pathologist · Madison, AL
NPI 1043835358 · NPPES record last updated Oct 27, 2021
Key facts
- NPI
- 1043835358
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Speech-Language Pathologist 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
- Organization subpart
- No
Authorized official
- Name
- Mrs. Shermetra Rena Delaine Payton, MCD, CCC-SLP
- Title
- Chief Executive Manager
- Phone
- (256) 684-2124
Practitioners 1
-
Shermetra Rena Delaine Payton, CCC-SLP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220118000409 | AL | Part B Supplier - Clinic/Group Practice | 7113319567 |
Receives reassigned benefits from 1 practitioner Practice locations: Madison, AL |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist |
235Z00000X | Yes |
Addresses
Primary practice location
103 Spenryn Dr
Madison, AL 35758-1891
Mailing address
103 Spenryn Dr
Madison, AL 35758-1891
Phone (256) 684-2124
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All providers in Madison, AL · Speech-Language Pathologist in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 27, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.