Alyssa Anne Jorgensen, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP16133 Issued in AZ

Practice address

17100 E Shea Blvd Ste 600
Fountain Hills, AZ 85268-6663

Phone

(480) 837-4565

NPI assigned

Feb 10, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/11823/brand/2/csg/41/fhir/r4

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.

• Barr Physical Therapy, P.C.

  dba KidZ TherapEZE

  • Pediatric Physical Therapist
  • Killeen, TX
  • NPI 1306927553

  Speech-Language Pathologist

  Medicare reassignment NPD
• San Luis Walk-in Clinic, Inc.

  • Rural Health Clinic/Center
  • Somerton, AZ
  • NPI 1003991506
  NPD (past)
• Barr Physical Therapy, P.C.

  dba KidZ TherapEZE

  • Speech-Language Pathologist
  • Killeen, TX
  • NPI 1063769685
  NPD (past)

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

{
    "created_epoch": "1581292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1205468998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3691 E CONSTITUTION DR",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852968243",
            "telephone_number": "480-241-5520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17100 E SHEA BLVD STE 600",
            "city": "FOUNTAIN HILLS",
            "state": "AZ",
            "postal_code": "852686663",
            "telephone_number": "480-837-4565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORGENSEN",
        "first_name": "ALYSSA",
        "middle_name": "ANNE",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-10",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP16133",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "UT",
            "license": "11420368-4104",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill R Johnston, OTD, OTR/L
• Lindsey Adamou Jones
• Melissa A Jones, PHARM D
• Noelle Angeline Jones, M.S.
• Alyssa Marie Jordan, OTD, OTR/L
• Hannah Josephson
• Jenna Yvonne Judd, PTA
• K E Express PLLC
• Virginia Mary Kaczor, OTR
• Manon Kahlon, M.S., CF-SLP

• Speech-Language Pathologist in Fountain Hills, AZ
• Providers in Fountain Hills, AZ by specialty
• Speech-Language Pathologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; 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.