Tabitha McCloud

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP.14860 Issued in OH

Practice address

11620 Highland Park
Logan, OH 43138-8619

Phone

(740) 590-9412

Fax

(614) 420-2896

NPI assigned

Sep 27, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fox Rehabilitation Services Oh, LLCGroup PAC ID 1254698350, 142 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Fox Rehabilitation Services Oh, LLC

  • Physical Therapist
  • Beachwood, OH
  • NPI 1265968481

  Speech-Language Pathologist

  Medicare reassignment Care Compare group NPD
• Speech on the Spot SE Ohio

  • Speech-Language Pathologist
  • Logan, OH
  • NPI 1881469666
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1664236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714953600000",
    "number": "1083338867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11620 HIGHLAND PARK",
            "city": "LOGAN",
            "state": "OH",
            "postal_code": "431388619",
            "telephone_number": "740-590-9412",
            "fax_number": "614-420-2896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11620 HIGHLAND PARK",
            "city": "LOGAN",
            "state": "OH",
            "postal_code": "431388619",
            "telephone_number": "740-590-9412",
            "fax_number": "614-420-2896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLOUD",
        "first_name": "TABITHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-27",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP.14860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Leigh Mason
• Jessica Matheny, LPC
• Addy L Mathias, LD
• Tiffany Nicole McCann, R.N.
• Rebecca Diane McCarty, PT
• Mackenzie McClure
• Kevin McCoy, QMHS3
• Patricia L McGrath, CDCA
• Angela McKee, LPN
• Keith A McKinniss, RPH

• Speech-Language Pathologist in Logan, OH
• Providers in Logan, OH by specialty
• Speech-Language Pathologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; 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.