Individual provider Active NPI

Shirley Renee Muhammad, SPL

  • Speech-Language Pathologist
  • Chicago, IL
National Provider Identifier
1194980185
Registry record updated Apr 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146.003720 Issued in IL
Practice address
322 W 118TH St
Chicago, IL 60628-6028
Phone
(815) 603-4823
Fax
(773) 264-5424
NPI assigned
Jul 19, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2010

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 146.003720 IL Primary

Addresses

Primary practice location

322 W 118TH St
Chicago, IL 60628-6028

Mailing address

322 W 118TH St
Chicago, IL 60628-6028
Phone (815) 603-4823

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201113000948 AZ Practitioner - Qualified Speech Language Pathologist 6608286042 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
146.003720ILMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Theraplay4Kidz, LLC Speech-Language Pathologist CurrentSince Aug 12, 2020 Accepting new patients

Locations

530 E McDowell Rd
Ste 107495
Phoenix, AZ 85004

21045 N 9th Pl
Ste 204
Phoenix, AZ 85024
Phone (480) 548-2601

7120 E Sahuaro Dr
Scottsdale, AZ 85254
Phone (480) 488-3946

9525 E Doubletree Ranch Rd
Ste 101
Scottsdale, AZ 85258
Phone (480) 488-3946

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1216425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271721600000",
    "number": "1194980185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 W 118TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606286028",
            "telephone_number": "815-603-4823",
            "fax_number": "773-264-5424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 W 118TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606286028",
            "telephone_number": "815-603-4823",
            "fax_number": "773-264-5424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUHAMMAD",
        "first_name": "SHIRLEY",
        "middle_name": "RENEE",
        "credential": "SPL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-19",
        "last_updated": "2010-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.003720",
            "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 Apr 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.