Active NPI
Allison Theabold, MS
- Speech-Language Pathologist
- Gilbert, AZ
National Provider Identifier
1356925697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- TSLP17844
- Practice address
- 3651 E Baseline Rd Ste 131
Gilbert, AZ 85234-2690 - Phone
- (602) 315-2401
- NPI assigned
- May 12, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Assistant | 2355S0801X | SLPA12967 | AZ | |
| Speech-Language Pathologist | 235Z00000X | TSLP17844 | AZ | Primary |
Addresses
Primary practice location
3651 E Baseline Rd Ste 131
Gilbert, AZ 85234-2690
Mailing address
1955 N Jackson St
Chandler, AZ 85225-8412
Phone (480) 512-9091
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 |
|---|---|---|---|
| SLPA12967 | AZ | MD | Speech-Language Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Theraplay4Kidz, LLC | Current | Accepting new patients |
Locations
21630 N 19th Ave
Ste B3
Phoenix, AZ 85027
Phone (480) 235-7588
Organizations & group practices 1
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.
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- Scottsdale, AZ
- NPI 1750727798
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788393600000",
"number": "1356925697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1955 N JACKSON ST",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852258412",
"telephone_number": "480-512-9091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3651 E BASELINE RD STE 131",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852342690",
"telephone_number": "602-315-2401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THEABOLD",
"first_name": "ALLISON",
"credential": "MS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-05-12",
"last_updated": "2026-09-03",
"certification_date": "2026-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "AZ",
"license": "SLPA12967",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AZ",
"license": "TSLP17844",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.