Individual provider Active NPI

Allison S Allcorn, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Cullman, AL
National Provider Identifier
1194475939
Registry record updated Mar 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
5128 Issued in AL
Practice address
1640 2ND Ave SW
Cullman, AL 35055-5313
Phone
(256) 841-5185
NPI assigned
Mar 25, 2022
Last updated
Mar 25, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 5128 AL Primary

Addresses

Primary practice location

1640 2ND Ave SW
Cullman, AL 35055-5313

Mailing address

1640 2ND Ave SW
Cullman, AL 35055-5313
Phone (256) 841-5185

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220524001395 AL Practitioner - Qualified Speech Language Pathologist 9931586351 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Encore Rehabilitation, IncGroup PAC ID 3577462126, 182 clinicians

Practice addresses (Care Compare)

811 2ND Ave SW
Suite G
Cullman, AL 35055-4222
Phone (256) 775-3737

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5128ALMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Encore Rehabilitation, Inc CurrentSince May 16, 2022 Accepting new patients
Encore Rehabilitation, Inc. CurrentSince May 16, 2022 Accepting new patients
Theraplay Pediatric Sensory Gym Speech-Language Pathologist CurrentSince Mar 27, 2022 Accepting new patients
Encore Rehabilitation, Inc. Speech-Language Pathologist Past Accepting new patients

Locations

1640 2nd Ave SW
Cullman, AL 35055
Phone (256) 727-2178

811 2nd Ave SW
Cullman, AL 35055
Phone (256) 775-3737

811 2nd Ave SW
Ste G
Cullman, AL 35055
Phone (256) 775-3737

251 Johnston St SE
Ste 300
Decatur, AL 35601
Phone (256) 340-9708

Organizations & group practices 4

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": "1648166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648166400000",
    "number": "1194475939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 2ND AVE SW",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350555313",
            "telephone_number": "256-841-5185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 2ND AVE SW",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350555313",
            "telephone_number": "256-841-5185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLCORN",
        "first_name": "ALLISON",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-25",
        "last_updated": "2022-03-25",
        "certification_date": "2022-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AL",
            "license": "5128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cullman, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2022; 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.