Individual provider Active NPI

Stephanie Corley

  • Speech-Language Pathologist
  • Greensboro, AL
National Provider Identifier
1356782817
Registry record updated May 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
3501 Issued in AL
Practice address
1502 Main St
Greensboro, AL 36744-1552
Phone
(334) 624-3950
Fax
(334) 624-3960
NPI assigned
Jul 12, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2014

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 3501 AL Primary

Addresses

Primary practice location

1502 Main St
Greensboro, AL 36744-1552

Mailing address

PO Box 6
Livingston, AL 35470-0006
Phone (205) 575-1609

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220811002765 GA Practitioner - Qualified Speech Language Pathologist 6709027097 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Select Rehabilitation, LLC Speech-Language Pathologist CurrentSince Feb 1, 2023 Accepting new patients
Adaptive Rehabilitation Clinics, LLC Speech-Language Pathologist Past Accepting new patients
New Hope LLC Speech-Language Pathologist PastSince Jul 1, 2009 Accepting new patients

Locations

150 Cottage Ln
Carrollton, GA 30117
Phone (770) 830-8857

1790 Powder Springs Rd SW
Marietta, GA 30064
Phone (770) 794-7044

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1373587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398902400000",
    "number": "1356782817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6",
            "city": "LIVINGSTON",
            "state": "AL",
            "postal_code": "354700006",
            "telephone_number": "205-575-1609",
            "fax_number": "205-575-1609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 MAIN ST",
            "city": "GREENSBORO",
            "state": "AL",
            "postal_code": "367441552",
            "telephone_number": "334-624-3950",
            "fax_number": "334-624-3960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORLEY",
        "first_name": "STEPHANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-12",
        "last_updated": "2014-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AL",
            "license": "3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2014; 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.