Individual provider Active NPI

Taylor Alise McIntire

  • Speech-Language Pathologist
  • Burr Ridge, IL
National Provider Identifier
1235805581
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146018076 Issued in IL
Practice address
15W150 S Frontage Rd
Burr Ridge, IL 60527-6956
Phone
(630) 230-1170
NPI assigned
Aug 17, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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 146018076 IL Primary

Addresses

Primary practice location

15W150 S Frontage Rd
Burr Ridge, IL 60527-6956

Mailing address

2776 Lawlor LN
Naperville, IL 60564-1044
Phone (419) 490-4750

Other practice location 1

2920 Leverenz Rd
Naperville, IL 60564-5135
Phone (630) 528-1750

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231228002601 AZ Practitioner - Qualified Speech Language Pathologist 8022468305 Reassigns benefits to 1 organization
I20250722001315 IL Practitioner - Qualified Speech Language Pathologist 8022468305 Reassigns benefits to 2 organizations

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
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

Practice addresses (Care Compare)

15 W150 S Frontage Rd
Burr Ridge, IL 60527-6956
Phone (630) 581-7775

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Healthcare Services Inc Speech-Language Pathologist CurrentSince Jul 7, 2025 Accepting new patients
Comprehensive Therapeutics LTD Speech-Language Pathologist CurrentSince Jun 25, 2025 Accepting new patients
Select Rehabilitation, LLC Speech-Language Pathologist CurrentSince Nov 4, 2023 Accepting new patients
Comprehensive Therapeutics LTD Speech-Language Pathologist CurrentSince Jun 25, 2025 Accepting new patients
Legacy Healthcare Services Inc Speech-Language Pathologist CurrentSince Jul 7, 2025 Accepting new patients

Locations

13391 N 94th Dr
Peoria, AZ 85381
Phone (623) 232-9841

13822 S 46th Pl
Phoenix, AZ 85044
Phone (480) 598-1224

15W150 S Frontage Rd
Burr Ridge, IL 60527
Phone (630) 422-5920

1015 Oconor Ave
La Salle, IL 61301
Phone (224) 616-5446

110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (970) 215-3300

Organizations & group practices 5

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": "1629158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1235805581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2776 LAWLOR LN",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605641044",
            "telephone_number": "419-490-4750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15W150 S FRONTAGE RD",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605276956",
            "telephone_number": "630-230-1170"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2920 Leverenz Rd",
            "address_purpose": "LOCATION",
            "city": "Naperville",
            "state": "IL",
            "postal_code": "605645135",
            "country_code": "US",
            "telephone_number": "630-528-1750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCINTIRE",
        "first_name": "TAYLOR",
        "middle_name": "ALISE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-17",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146018076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burr Ridge, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2025; 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.