Martha Hardwick, SLP
Individual provider Active NPI Speech-Language Pathologist · Palmyra, VA
NPI 1063573202 · NPPES record last updated Jan 31, 2024
Key facts
- NPI
- 1063573202
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 2202010417 (VA)
- Practice address
- 109 Crofton PL
Palmyra, VA 22963-3300 - Phone
- (434) 589-9588
- NPI assigned
- Dec 12, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240709000052 | VA | Practitioner - Qualified Speech Language Pathologist | 5799220349 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ivyrehab Sept, LLC | Current |
Accepting new patients | |
| Legacy Healthcare Services Inc | Speech-Language Pathologist | Current |
Accepting new patients |
| Legacy Healthcare Services Inc | Speech-Language Pathologist | Current |
Accepting new patients |
| Ivyrehab Sept, LLC | Speech-Language Pathologist | Current |
Accepting new patients |
Locations
110 Horizon Dr
#310
Raleigh, NC 27615
2275 Beech Ave
Buena Vista, VA 24416
Phone (540) 466-1000
343 Archer Ave
Charlottesville, VA 22911
Phone (434) 255-0996
1622 Timberwood Blvd
Ste 112
Charlottesville, VA 22911
Phone (434) 200-8510
109 Crofton Pl
Palmyra, VA 22963
Phone (434) 589-9588
3365 Ogden Rd
Roanoke, VA 24018
Phone (540) 682-7500
70 Jefferson Ct
Ste 102
Zion Crossroads, VA 22942
Phone (540) 832-3061
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 04018 | MD | |
| Speech-Language Pathologist | 235Z00000X | 2202010417 | VA | Yes |
Addresses
Primary practice location
109 Crofton PL
Palmyra, VA 22963-3300
Mailing address
PO Box 412307
Boston, MA 02241-2307
Other practice location 1
219 S Washington St
Easton, MD 21601-2913
Phone (410) 822-1000
Other providers in Palmyra, VA
- Shannon Kathleen Garrett-Redmond
- Peter Roger Generelly
- Vicky Byrne Generelly
- Doreen Gullo
- Rebekah K Guthrie
- Kaitlyn Harlow-Burner
- Jessica Lynn Harlow-Wood
- Karena Heyward
- Lucy Little Hill
- Mark Hineline
All providers in Palmyra, VA · Speech-Language Pathologist in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 31, 2024. 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.