Sara Vickery, MS CCC-SLP/L

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146.016659 Issued in IL

Practice address

14225 S 95TH Ave Ste 453
Orland Park, IL 60462-2266

Phone

(815) 469-1500

NPI assigned

Jun 4, 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Trestle Therapy Group, PLLC

  • Speech-Language Pathologist
  • Oak Lawn, IL
  • NPI 1376267831
  NPD (past)
• Westside Childrens Therapy

  • Physical Therapist
  • Joliet, IL
  • NPI 1972783900

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1654300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732579200000",
    "number": "1164161394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14225 S 95TH AVE STE 453",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604622266",
            "telephone_number": "815-469-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14225 S 95TH AVE STE 453",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604622266",
            "telephone_number": "815-469-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICKERY",
        "first_name": "SARA",
        "credential": "MS CCC-SLP/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-04",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.016659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noelle Nicole Veome
• Claudia Lorena Vergara, M.D.
• Vertex Anesthesia LLC
• Kenneth Vicencio, PSYD
• Vanessa Vickers, D.C.
• Buen Vidad
• Vijayalakshmi Thota DO
• Vijayalakshmi Thota DO SC
• Olga M Vila-Sola, MD
• Gloria Villa, COTA

• Speech-Language Pathologist in Orland Park, IL
• Providers in Orland Park, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; 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.