Individual provider Active NPI

Madelyn Ogle, MA CCC-SLP

  • Speech-Language Pathologist
  • Edmond, OK
National Provider Identifier
1053189233
Registry record updated Dec 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
14421939 Issued in OK
Practice address
2200 NE 140TH St
Edmond, OK 73013-5784
Phone
(405) 608-8020
NPI assigned
Dec 18, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2023

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 14421939 OK Primary

Addresses

Primary practice location

2200 NE 140TH St
Edmond, OK 73013-5784

Mailing address

12005 N Francis Ave
Oklahoma City, OK 73114-7923
Phone (405) 615-8522

Other names 1

  • Madelyn Ryland Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240105004070 OK Practitioner - Qualified Speech Language Pathologist 0143671800 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
5788OKMDGeneral Practice Dentistry
14421939OKMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Empowerme Wellness Kansas City, LLC Speech-Language Pathologist CurrentSince Dec 20, 2023 Accepting new patients
Empowerme Rehabilitation Oklahoma LLC Speech-Language Pathologist CurrentSince Dec 20, 2023 Accepting new patients
Empowerme Wellness Kansas City, LLC CurrentSince Dec 20, 2023 Accepting new patients

Locations

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723

7345 S 99th East Ave
#H
Tulsa, OK 74133
Phone (539) 207-5807

7345 S 99th East Ave
Tulsa, OK 74133
Phone (254) 226-1461

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": "1702857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702857600000",
    "number": "1053189233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12005 N FRANCIS AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731147923",
            "telephone_number": "405-615-8522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 NE 140TH ST",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730135784",
            "telephone_number": "405-608-8020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGLE",
        "first_name": "MADELYN",
        "credential": "MA CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-18",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OK",
            "license": "14421939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MADELYN",
            "last_name": "RYLAND",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; 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.