Active NPI
Shirley Renee Muhammad, SPL
- Speech-Language Pathologist
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 146.003720
- 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
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 | 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 146.003720 | IL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Theraplay4Kidz, LLC | Speech-Language Pathologist | Current | 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.
-
- Occupational Therapist
- Scottsdale, AZ
- NPI 1750727798
Speech-Language Pathologist
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.