Organization Active NPI

Alexandra Gallagher Ms CCC-SLP LLC

  • Speech-Language Pathologist
  • Philadelphia, PA
National Provider Identifier
1164039616
Registry record updated Mar 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
ALEXANDRA GALLAGHER MS CCC-SLP LLC
Practice address
1326 N Mascher St Unit E
Philadelphia, PA 19122-4630
Phone
(772) 359-6469
Fax
(833) 227-0462
NPI assigned
Sep 29, 2020
Last updated
Mar 25, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2021

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

Authorized official

Name
Alexandra Gallagher, MS CCC-SLPNPI 1033525886
Title
Speech-Language Pathologist
Phone
(484) 301-0154

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

1326 N Mascher St Unit E
Philadelphia, PA 19122-4630

Mailing address

1326 N Mascher St Unit E
Philadelphia, PA 19122-4630
Phone (484) 301-0154

Other names 1

  • Alexandra Gallagher SLP Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL Phildelphia Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1601337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616630400000",
    "number": "1164039616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1326 N MASCHER ST UNIT E",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191224630",
            "telephone_number": "484-301-0154",
            "fax_number": "888-368-9574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1326 N MASCHER ST UNIT E",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191224630",
            "telephone_number": "772-359-6469",
            "fax_number": "833-227-0462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXANDRA GALLAGHER MS CCC-SLP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-29",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A",
        "authorized_official_last_name": "GALLAGHER",
        "authorized_official_first_name": "ALEXANDRA",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "484-301-0154",
        "authorized_official_credential": "MS CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Phildelphia",
            "affiliation": "N",
            "endpointDescription": "SLP",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1326 N Mascher St Unit E",
            "city": "Philadelphia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "191224630",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Alexandra Gallagher SLP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.