Active NPI
Maria McReynolds, SLP
- Speech-Language Pathologist
- Xenia, OH
National Provider Identifier
1336662535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2017301
- Practice address
- 819 Colorado Dr
Xenia, OH 45385-4859 - Phone
- (937) 376-2961
- NPI assigned
- Jul 19, 2017
- Last updated
- Apr 7, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2017301 | OH | Primary |
Addresses
Primary practice location
819 Colorado Dr
Xenia, OH 45385-4859
Mailing address
2498 Dayton Xenia Rd
Beavercreek, OH 45434-7169
Other practice location 1
2498 Dayton Xenia Rd
Beavercreek, OH 45434-7169
Phone (937) 427-1919
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2017301 | OH | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Xenia Community School District | Current | Accepting new patients | |
| Therapy Connections, LLC | Speech-Language Pathologist | Past | Accepting new patients |
Locations
819 Colorado Dr
Xenia, OH 45385
Phone (937) 376-2961
Organizations & group practices 2
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.
-
- Local Education Agency (LEA)
- Xenia, OH
- NPI 1114136553
-
- Speech-Language Pathologist
- Beavercreek, OH
- NPI 1629179270
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617753600000",
"number": "1336662535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2498 DAYTON XENIA RD",
"city": "BEAVERCREEK",
"state": "OH",
"postal_code": "454347169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "819 COLORADO DR",
"city": "XENIA",
"state": "OH",
"postal_code": "453854859",
"telephone_number": "937-376-2961"
}
],
"practiceLocations": [
{
"address_1": "2498 Dayton Xenia Rd",
"address_purpose": "LOCATION",
"city": "Beavercreek",
"state": "OH",
"postal_code": "454347169",
"country_code": "US",
"telephone_number": "937-427-1919",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCREYNOLDS",
"first_name": "MARIA",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-19",
"last_updated": "2021-04-07",
"certification_date": "2021-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OH",
"license": "2017301",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Xenia, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.