Active NPI
Darian Gleim
- Speech-Language Pathologist
- Warren, OH
National Provider Identifier
1275147134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP.14484
- Practice address
- 9500 Howland Springs Rd SE
Warren, OH 44484-3108 - Phone
- (330) 856-8280
- NPI assigned
- Sep 8, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | COND.20201524-SP | OH | |
| Speech-Language Pathologist | 235Z00000X | SP.14484 | OH | Primary |
Addresses
Primary practice location
9500 Howland Springs Rd SE
Warren, OH 44484-3108
Mailing address
6794 Oak Hill Dr
West Farmington, OH 44491-8707
Phone (330) 718-3130
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
- Ohio State University College of Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5535 Irwin Simpson Rd
Mason, OH 45040-8107
Phone (330) 919-9575
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| COND.20201524-SP | OH | MD | Speech-Language Pathologist |
| SP.14484 | OH | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Patriot Outpatient Therapy, LLC | Current | Accepting new patients |
Locations
986 Tibbetts Wick Rd
Girard, OH 44420
Phone (330) 306-9651
986 Tibbetts Wick Rd
Bldg 2
Girard, OH 44420
Phone (330) 919-9575
Organizations & group practices 1
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.
-
- Physical Therapist
- Mason, OH
- NPI 1609672658
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660262400000",
"number": "1275147134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6794 OAK HILL DR",
"city": "WEST FARMINGTON",
"state": "OH",
"postal_code": "444918707",
"telephone_number": "330-718-3130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9500 HOWLAND SPRINGS RD SE",
"city": "WARREN",
"state": "OH",
"postal_code": "444843108",
"telephone_number": "330-856-8280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLEIM",
"first_name": "DARIAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-08",
"last_updated": "2022-08-12",
"certification_date": "2022-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OH",
"license": "COND.20201524-SP",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OH",
"license": "SP.14484",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warren, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.