Active NPI
Liane McCarroll, MS, SLP
- Speech-Language Pathologist
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SL010400
- Practice address
- 3509 N Broad St
Philadelphia, PA 19140 - Phone
- (215) 707-3663
- Fax
- (215) 707-6417
- NPI assigned
- Feb 4, 2015
- 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 | SL010400 | PA | Primary |
Addresses
Primary practice location
3509 N Broad St
Philadelphia, PA 19140
Mailing address
2450 W Hunting Park Ave
Philadelphia, PA 19129-1302
Phone (215) 214-7875
Other practice location 1
333 Cottman Ave
Rehab Department
Philadelphia, PA 19111-2434
Phone (215) 728-2622
Other practice location 2
333 Cottman Ave
Rehab Department
Philadelphia, PA 19111-2434
Phone (215) 728-2622
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 81.21 of 100
- Quality
- 49.71
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.23
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SL010400 | PA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Temple Faculty Practice Plan Inc | Current | Accepting new patients | |
| Temple Faculty Practice Plan, Inc | Current | Accepting new patients | |
| Temple Faculty Practice Plan Inc | Current | Accepting new patients | |
| Temple University of the Commonwealth System of Higher Education | Past | Accepting new patients |
Locations
515 Pennsylvania Ave
Ft Washington, PA 19034
Phone (215) 641-0700
3509 N Broad St
Philadelphia, PA 19140
Phone (215) 707-2433
2450 W Hunting Park Ave
Philadelphia, PA 19129
Phone (215) 707-2433
3401 N Broad St
Philadelphia, PA 19140
Phone (215) 707-3807
7600 Central Ave
Philadelphia, PA 19111
Phone (215) 707-5522
333 Cottman Ave
Philadelphia, PA 19111
Phone (215) 728-3893
7604 Central Ave
Philadelphia, PA 19111
Phone (215) 745-3400
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.
-
- Anesthesiology Physician
- Philadelphia, PA
- NPI 1881176949
-
- Diagnostic Radiology Physician
- Philadelphia, PA
- NPI 1720561186
-
- Urology Physician
- Voorhees, NJ
- NPI 1407638794
-
- Ambulatory Surgical Clinic/Center
- Philadelphia, PA
- NPI 1386646891
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526860800000",
"number": "1346630894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2450 W HUNTING PARK AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191291302",
"telephone_number": "215-214-7875",
"fax_number": "215-214-7871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3509 N BROAD ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19140",
"telephone_number": "215-707-3663",
"fax_number": "215-707-6417"
}
],
"practiceLocations": [
{
"address_1": "333 Cottman Ave",
"address_2": "Rehab Department",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191112434",
"country_code": "US",
"telephone_number": "215-728-2622",
"fax_number": "215-742-9465",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "333 Cottman Ave",
"address_2": "Rehab Department",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191112434",
"country_code": "US",
"telephone_number": "215-728-2622",
"fax_number": "215-742-9465",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCCARROLL",
"first_name": "LIANE",
"credential": "MS, SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-04",
"last_updated": "2018-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PA",
"license": "SL010400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2018; 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.