Phenix Speech and Language Services

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

3982 Issued in AL

Legal business name

PHENIX SPEECH AND LANGUAGE SERVICES

Doing business as

Legacy Outpatient Rehab Clinic

Practice address

703 13TH St
Phenix City, AL 36867-5038

Phone

(334) 448-5636

Fax

(334) 448-5637

NPI assigned

Feb 11, 2010

Last updated

Jun 19, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Mary Ann Hudson, M.EDCCCNPI 1720205776

Title

Speech Language Pathologist

Phone

(334) 468-3032

Specialties & licenses 1

Addresses

Other names 1

• Legacy Outpatient Rehab Clinic Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mary Ann Hudson, M.ED.CCCSLP

  • Speech-Language Pathologist
  • Phenix City, AL
  • NPI 1720205776
  Authorized official Same address or phone
• Chasity Burney, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Columbus, GA
  • NPI 1861015760
  NPD
• Kenya Spencer, LICSW

  • Clinical Social Worker
  • Smiths Station, AL
  • NPI 1891476446

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1265846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403136000000",
    "number": "1265764500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 13TH ST",
            "city": "PHENIX CITY",
            "state": "AL",
            "postal_code": "368675038",
            "telephone_number": "334-448-5636",
            "fax_number": "334-448-5637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 13TH ST",
            "city": "PHENIX CITY",
            "state": "AL",
            "postal_code": "368675038",
            "telephone_number": "334-448-5636",
            "fax_number": "334-448-5637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHENIX SPEECH AND LANGUAGE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-11",
        "last_updated": "2014-06-19",
        "status": "A",
        "authorized_official_last_name": "HUDSON",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "334-468-3032",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.EDCCC"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AL",
            "license": "3982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Legacy Outpatient Rehab Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Phenix City Health Care, LLC
• Phenix City Joint & Rehab, LLC
• Phenix City Pain Management
• Phenix City Pulmonary & Critical Care, P.C.
• Phenix City Spine & Joint Ctr.
• Phenixfootcare
• Physical Therapy of Phenix City, PC
• Physicians Choice Dialysis of Lee County LLC
• Pinnacle Enterprises PC (Phenix City Childrens & Family Clinic)
• Ronna Rowland Pirtle, DMD

• Speech-Language Pathologist in Phenix City, AL
• Providers in Phenix City, AL by specialty
• Speech-Language Pathologist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.