Individual provider Active NPI

Treasyri Williams Wood, SLPD, CCC-SLP

  • Speech-Language Pathologist
  • Chicago, IL
National Provider Identifier
1144501172
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146013575 Issued in IL
Practice address
80 E Pershing Rd Ste 101
Chicago, IL 60653-1531
Phone
(248) 747-1132
NPI assigned
Sep 3, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 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 2202007377 VA
Speech-Language Pathologist 235Z00000X 146013575 IL Primary

Addresses

Primary practice location

80 E Pershing Rd Ste 101
Chicago, IL 60653-1531

Mailing address

4919 S Vincennes Ave Unit 1
Chicago, IL 60615-3200
Phone (248) 747-1132

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240501002667 IL Practitioner - Qualified Speech Language Pathologist 8820374937 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

80 E Pershing Rd
Suite 101
Chicago, IL 60653-1531
Phone (773) 234-8340

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2202007377VAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Willwood Consulting Services PLLC. Speech-Language Pathologist CurrentSince Feb 12, 2025 Accepting new patients
The Speech Mentor LLC Speech-Language Pathologist Current Accepting new patients

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": "1315008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1144501172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4919 S VINCENNES AVE UNIT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606153200",
            "telephone_number": "248-747-1132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 E PERSHING RD STE 101",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606531531",
            "telephone_number": "248-747-1132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS WOOD",
        "first_name": "TREASYRI",
        "name_prefix": "Dr.",
        "credential": "SLPD, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-03",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202007377",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146013575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.