Individual provider Active NPI

Brittany M Thomas, CCC-SLP

  • Speech-Language Pathologist
  • Idaho Falls, ID
National Provider Identifier
1053046375
Registry record updated Jul 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP-4966 Issued in ID
Practice address
407 10TH St
Idaho Falls, ID 83404-4812
Phone
(208) 709-1144
NPI assigned
Jul 20, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLP-4966 ID Primary

Addresses

Primary practice location

407 10TH St
Idaho Falls, ID 83404-4812

Mailing address

407 10TH St
Idaho Falls, ID 83404-4812
Phone (208) 709-1144

Other practice location 1

3715 Woodking Dr
Idaho Falls, ID 83404-4720
Phone (208) 709-1144

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240729001832 ID Practitioner - Qualified Speech Language Pathologist 4981140720 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Achieve Therapy and Learning Services, LLCGroup PAC ID 7113382110, 8 clinicians

Practice addresses (Care Compare)

586 1St St
Idaho Falls, ID 83401-3963
Phone (208) 523-6988

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SLP-4966IDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Achieve Therapy and Learning Services, LLC Speech-Language Pathologist CurrentSince May 2, 2024 Accepting new patients

Locations

586 1st St
Idaho Falls, ID 83401
Phone (208) 523-6988

Organizations & group practices 1

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": "1658275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658448000000",
    "number": "1053046375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 10TH ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834044812",
            "telephone_number": "208-709-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 10TH ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834044812",
            "telephone_number": "208-709-1144"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3715 Woodking Dr",
            "address_purpose": "LOCATION",
            "city": "Idaho Falls",
            "state": "ID",
            "postal_code": "834044720",
            "country_code": "US",
            "telephone_number": "208-709-1144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "BRITTANY",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-20",
        "last_updated": "2022-07-22",
        "certification_date": "2022-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ID",
            "license": "SLP-4966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Idaho Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.