Active NPI
Madelyn Anderson, SLP
- Speech-Language Pathologist
- Copley, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP13371
- Practice address
- 2754 Loch Raven Blvd Apt H
Copley, OH 44321-2162 - Phone
- (330) 907-1160
- NPI assigned
- Oct 6, 2019
- Last updated
- Oct 6, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 | SP13371 | OH | Primary |
Addresses
Primary practice location
2754 Loch Raven Blvd Apt H
Copley, OH 44321-2162
Mailing address
2754 Loch Raven Blvd Apt H
Copley, OH 44321-2162
Phone (330) 907-1160
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
19455 Rockside Rd
Bedford, OH 44146-2000
Phone (440) 305-7511
8180 Mentor Hills Dr
Mentor, OH 44060-7815
Phone (440) 491-6820
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthpro Heritage Rehab & Fitness, LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Healthpro Heritage Rehab & Fitness, LLC | Speech-Language Pathologist | Current | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Bedford, OH
- NPI 1689194755
Speech-Language Pathologist
-
- Multi-Specialty Clinic/Center
- Mentor, OH
- NPI 1528652096
-
- Physical Therapist
- Independence, MO
- NPI 1871072462
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570320000000",
"number": "1265073787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2754 LOCH RAVEN BLVD APT H",
"city": "COPLEY",
"state": "OH",
"postal_code": "443212162",
"telephone_number": "330-907-1160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2754 LOCH RAVEN BLVD APT H",
"city": "COPLEY",
"state": "OH",
"postal_code": "443212162",
"telephone_number": "330-907-1160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "MADELYN",
"credential": "SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-10-06",
"last_updated": "2019-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OH",
"license": "SP13371",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Copley, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2019; 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.