Individual provider Active NPI

Gayla Skadden Grzegorczyk, MA, CCC-SLP

  • Speech-Language Pathologist
  • Colorado Springs, CO
National Provider Identifier
1245940774
Registry record updated Nov 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
0001273 Issued in CO
Practice address
4835 Teton PL
Colorado Springs, CO 80918-5234
Phone
(719) 551-6499
NPI assigned
Nov 23, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 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 0001273 CO Primary

Addresses

Primary practice location

4835 Teton PL
Colorado Springs, CO 80918-5234

Mailing address

4835 Teton PL
Colorado Springs, CO 80918-5234
Phone (719) 551-6499

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230701000367 CO Practitioner - Qualified Speech Language Pathologist 0547629008 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Empowerme Rehabilitation Colorado, LLCGroup PAC ID 0446641179, 99 clinicians
Paxxon Healthcare Services LLCGroup PAC ID 8325959554, 153 clinicians

Practice addresses (Care Compare)

2440 S Wabash St
Modena Cherry Creek
Denver, CO 80231-3808
Phone (314) 673-6747

7600 Sandy Rock PT
Colorado Springs, CO 80924-5222
Phone (719) 960-4005

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0001273COMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Select Rehabilitation Speech-Language Pathologist CurrentSince Nov 27, 2022 Accepting new patients
Empowerme Rehabilitation Colorado, LLC Speech-Language Pathologist CurrentSince Dec 1, 2024 Accepting new patients
Paxxon Healthcare Services LLC CurrentSince Jun 15, 2023 Accepting new patients

Locations

7600 Sandy Rock Pt
Colorado Springs, CO 80924
Phone (719) 900-1531

Organizations & group practices 9

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": "1669161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669161600000",
    "number": "1245940774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4835 TETON PL",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809185234",
            "telephone_number": "719-551-6499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4835 TETON PL",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809185234",
            "telephone_number": "719-551-6499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRZEGORCZYK",
        "first_name": "GAYLA",
        "middle_name": "SKADDEN",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-23",
        "last_updated": "2022-11-23",
        "certification_date": "2022-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "0001273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.