Individual provider Active NPI

Mary Hay, SLP

  • Speech-Language Pathologist
  • Elkhart, IN
National Provider Identifier
1336849108
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
22001715A Issued in IN
Practice address
1220 E Jackson Blvd
Elkhart, IN 46516-4419
Phone
(574) 333-9747
Fax
(574) 367-2369
NPI assigned
Mar 9, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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 22001715A IN Primary

Addresses

Primary practice location

1220 E Jackson Blvd
Elkhart, IN 46516-4419

Mailing address

1220 E Jackson Blvd
Elkhart, IN 46516-4419
Phone (574) 333-9747

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230327002945 IN Practitioner - Qualified Speech Language Pathologist 5597139808 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Senior Outpatient ServicesGroup PAC ID 6507264165, 10 clinicians

Practice addresses (Care Compare)

1220 E Jackson Blvd
Elkhart, IN 46516-4419
Phone (574) 333-9747

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22001715AINMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Outpatient Services Speech-Language Pathologist CurrentSince Mar 21, 2023 Accepting new patients
Powerback Rehabilitation LLC Speech-Language Pathologist CurrentSince Feb 13, 2024 Accepting new patients
Powerback Rehabilitation LLC Speech-Language Pathologist CurrentSince Feb 13, 2024 Accepting new patients

Locations

101 E State St
Kennett Square, PA 19348
Phone (610) 925-4436

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1678320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1336849108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 E JACKSON BLVD",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465164419",
            "telephone_number": "574-333-9747",
            "fax_number": "574-367-2369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 E JACKSON BLVD",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465164419",
            "telephone_number": "574-333-9747",
            "fax_number": "574-367-2369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAY",
        "first_name": "MARY",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-09",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "22001715A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkhart, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2026; 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.