Organization Active NPI

Beach Speech Therapy

  • Speech-Language Pathologist
  • Gulf Shores, AL
National Provider Identifier
1093346058
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
BEACH SPEECH THERAPY
Practice address
309 E 21St Ave Ste H
Gulf Shores, AL 36542-3657
Phone
(251) 610-8000
Fax
(251) 317-3321
NPI assigned
Jan 29, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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

Authorized official

Name
Mrs. Lia Douglas, MS CCC SLPNPI 1447406384
Title
Speech Language Pathologist/Owner
Phone
(251) 610-8000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

309 E 21St Ave Ste H
Gulf Shores, AL 36542-3657

Mailing address

929 E 23Rd Ave
Gulf Shores, AL 36542-3125
Phone (251) 610-8000

Other identifiers 1

IdentifierTypeStateIssuer
244605MedicaidAL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200715002997 AL Part B Supplier - Clinic/Group Practice 1153745773 Receives reassigned benefits from 1 practitioner
Practice locations: Foley, AL

National Provider Directory

National Provider Directory

Locations

316 S McKenzie St
Ste 101
Foley, AL 36535
Phone (251) 610-8000

309 E 21st Ave
Ste H
Gulf Shores, AL 36542
Phone (251) 610-8000

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1580256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723420800000",
    "number": "1093346058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 E 23RD AVE",
            "city": "GULF SHORES",
            "state": "AL",
            "postal_code": "365423125",
            "telephone_number": "251-610-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 E 21ST AVE STE H",
            "city": "GULF SHORES",
            "state": "AL",
            "postal_code": "365423657",
            "telephone_number": "251-610-8000",
            "fax_number": "251-317-3321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACH SPEECH THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-29",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A",
        "authorized_official_last_name": "DOUGLAS",
        "authorized_official_first_name": "LIA",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST/OWNER",
        "authorized_official_telephone_number": "251-610-8000",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS CCC SLP"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "244605",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulf Shores, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; 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.