Active NPI
Mary Hay, SLP
- Speech-Language Pathologist
- Elkhart, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 22001715A
- 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
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 | 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 22001715A | IN | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Senior Outpatient Services | Speech-Language Pathologist | Current | Accepting new patients |
| Powerback Rehabilitation LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Powerback Rehabilitation LLC | Speech-Language Pathologist | Current | 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.
-
- Occupational Therapist
- Elkhart, IN
- NPI 1750050977
Speech-Language Pathologist
-
dba Powerback Rehabilitation
- Physical Therapist
- Avon, IN
- NPI 1174275283
Speech-Language Pathologist
-
dba Powerback Rehabilitation
- Physical Therapist
- Woodbridge, VA
- NPI 1790640761
Speech-Language Pathologist
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.