Individual provider Active NPI

Jonathan Sizemore, M.A. CCC/SLP

  • Speech-Language Pathologist
  • Hazard, KY
National Provider Identifier
1285016980
Registry record updated Dec 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLPLPA00220279 Issued in KY
Practice address
9821 Ky Hwy 476
Hazard, KY 41701
Phone
(606) 813-1819
NPI assigned
Jun 18, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2019

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 SLPLPA00220279 KY Primary

Addresses

Primary practice location

9821 Ky Hwy 476
Hazard, KY 41701

Mailing address

9821 Ky Hwy 476
Hazard, KY 41701

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201119001566 KY Practitioner - Qualified Speech Language Pathologist 5395156525 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mountain Therapy, LLCGroup PAC ID 1153714142, 3 clinicians

Practice addresses (Care Compare)

572 Village LN
Hazard, KY 41701-9406
Phone (606) 439-5055

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SLPLPA00220279KYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Therapy Services Speech-Language Pathologist CurrentSince Jun 6, 2021 Accepting new patients
Sizemore Therapy Group LLC Speech-Language Pathologist Current Accepting new patients
Mountain Therapy, LLC Speech-Language Pathologist CurrentSince Jan 2, 2022 Accepting new patients
MD Analysis LLC PastSince Jan 2, 2022 Accepting new patients

Locations

572 Village Ln
Hazard, KY 41701
Phone (606) 439-5055

Organizations & group practices 4

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": "1434585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575504000000",
    "number": "1285016980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9821 KY HWY 476",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "41701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9821 KY HWY 476",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "41701",
            "telephone_number": "606-813-1819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIZEMORE",
        "first_name": "JONATHAN",
        "credential": "M.A. CCC/SLP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-18",
        "last_updated": "2019-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "SLPLPA00220279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazard, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.

Verify at the official NPI Registry.