NPIMap

Organization Active NPI

Amy Grulke, PLLC

  • Speech-Language Pathologist
  • Chandler, AZ
National Provider Identifier
1316464795
Registry record updated Feb 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
5749 Issued in AZ
Legal business name
AMY GRULKE, PLLC
Practice address
2248 N Alma School Rd Ste 102
Chandler, AZ 85224-2488
Phone
(480) 935-0614
Fax
(480) 393-1968
NPI assigned
Aug 25, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2021

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

Authorized official

Name
Mrs. Amy Grulke, MS, CCC-SLPNPI 1164607628
Title
Owner
Phone
(480) 935-0614

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 5749 AZ Primary
Physical Therapy Clinic/Center 261QP2000X

Addresses

Primary practice location

2248 N Alma School Rd Ste 102
Chandler, AZ 85224-2488

Mailing address

2322 W Stottler Dr
Chandler, AZ 85224-2524
Phone (480) 935-0614

Other practice location 1

2950 N Dobson Rd Ste 3
Chandler, AZ 85224-1819
Phone (480) 935-0614

Other practice location 2

13934 N 59th Ave Ste 160
Glendale, AZ 85306-4168
Phone (480) 935-0614

Other practice location 3

2505 Anthem Village Dr Ste E379
Henderson, NV 89052-5505
Phone (480) 935-0614

Other identifiers 1

IdentifierTypeStateIssuer
412169MedicaidAZ

Other names 1

  • Arbor Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171214003120 AZ Part B Supplier - Clinic/Group Practice 4284992538 Receives reassigned benefits from 19 practitioners
Practice locations: Chandler, AZ; Mesa, AZ; Glendale, AZ

National Provider Directory

National Provider Directory

Locations

2950 N Dobson Rd
Ste 3
Chandler, AZ 85224
Phone 4809350614407

3200 N Dobson Rd
Bldg E
Chandler, AZ 85224

5750 W Thunderbird Rd
#E50
Glendale, AZ 85306

13934 N 59th Ave
Ste 160
Glendale, AZ 85306
Phone (480) 478-0444

2505 Anthem Village Dr
Ste E379
Henderson, NV 89052

Practitioners & affiliated clinicians

Practitioners 46

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 46

NPI Registry JSON

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

{
    "created_epoch": "1503619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614211200000",
    "number": "1316464795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2322 W STOTTLER DR",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852242524",
            "telephone_number": "480-935-0614",
            "fax_number": "480-393-1968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2248 N ALMA SCHOOL RD STE 102",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852242488",
            "telephone_number": "480-935-0614",
            "fax_number": "480-393-1968"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2950 N Dobson Rd Ste 3",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852241819",
            "country_code": "US",
            "telephone_number": "480-935-0614",
            "fax_number": "480-393-1968",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13934 N 59th Ave Ste 160",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853064168",
            "country_code": "US",
            "telephone_number": "480-935-0614",
            "fax_number": "480-393-1968",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2505 Anthem Village Dr Ste E379",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890525505",
            "country_code": "US",
            "telephone_number": "480-935-0614",
            "fax_number": "480-393-1968",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AMY GRULKE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-25",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A",
        "authorized_official_last_name": "GRULKE",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-935-0614",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "5749",
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "412169",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arbor Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.