Active NPI
Amy T Grulke, M.S., CCC-SLP
- Speech-Language Pathologist
- Chandler, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLPL5749
- Practice address
- 2248 N Alma School Rd Ste 102
Chandler, AZ 85224-2488 - Phone
- (480) 935-0614
- NPI assigned
- Jan 3, 2008
- Last updated
- Feb 25, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLPL5749 | AZ | Primary |
Addresses
Primary practice location
2248 N Alma School Rd Ste 102
Chandler, AZ 85224-2488
Mailing address
2322 W Stottler Dr
Chandler, AZ 85224-2524
Phone (480) 247-9693
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 412169 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2248 N Alma School Rd
Suite 102
Chandler, AZ 85224-2488
Phone (480) 935-0614
5750 W Thunderbird Rd
Suite E500
Glendale, AZ 85306-4669
Phone (480) 935-0614
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLPL5749 | AZ | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amy Grulke, PLLC | Speech-Language Pathologist | Current | Accepting new patients |
Locations
2248 N Alma School Rd
Ste 102
Chandler, AZ 85224
Phone (480) 899-9484
2950 N Dobson Rd
Ste 3
Chandler, AZ 85224
Phone 4809350614407
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614211200000",
"number": "1164607628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2322 W STOTTLER DR",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852242524",
"telephone_number": "480-247-9693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2248 N ALMA SCHOOL RD STE 102",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852242488",
"telephone_number": "480-935-0614"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRULKE",
"first_name": "AMY",
"middle_name": "T",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-01-03",
"last_updated": "2021-02-25",
"certification_date": "2021-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AZ",
"license": "SLPL5749",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "412169",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2021; 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.