Individual provider Active NPI

Shir Gamliel, MS, CCC-SLP

  • Speech-Language Pathologist
  • Lynnwood, WA
National Provider Identifier
1134964679
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
LL.70023775 Issued in WA
Practice address
16201 25TH Ave W
Lynnwood, WA 98087-2520
Phone
(425) 774-9564
NPI assigned
Jun 26, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X LL.70023775 WA Primary
Speech-Language Pathologist 235Z00000X 122630 TX

Addresses

Primary practice location

16201 25TH Ave W
Lynnwood, WA 98087-2520

Mailing address

2209 Reflection Pointe
Richardson, TX 75080-8413
Phone (214) 901-8753

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251124001047 WA Practitioner - Qualified Speech Language Pathologist 9638661036 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

341 N 138TH St
Seattle, WA 98133-7418

625 2ND Ave S
Great Falls, MT 59405-1905

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
122630TXMDOccupational Therapist
LL.70023775WAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Balanced Family Chiropractic, LLC Speech-Language Pathologist CurrentSince Sep 3, 2025 Accepting new patients
Bir JV LLP PastSince Jun 1, 2024 Accepting new patients

Locations

16201 25th Ave W
Lynnwood, WA 98087
Phone (425) 712-9277

Organizations & group practices 2

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": "1719360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1134964679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2209 REFLECTION POINTE",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750808413",
            "telephone_number": "214-901-8753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16201 25TH AVE W",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980872520",
            "telephone_number": "425-774-9564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMLIEL",
        "first_name": "SHIR",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-26",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL.70023775",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "122630",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnwood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; 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.