Individual provider Active NPI

Karly Marie Ford

  • Speech-Language Pathologist
  • Weirton, WV
National Provider Identifier
1366035024
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2170 Issued in WV
Practice address
3428 Pennsylvania Ave
Weirton, WV 26062-3923
Phone
(304) 748-8370
NPI assigned
Feb 14, 2021
Last updated
Nov 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 1343 OH
Speech-Language Pathologist 235Z00000X SL015697 PA
Speech-Language Pathologist 235Z00000X 2170 WV Primary

Addresses

Primary practice location

3428 Pennsylvania Ave
Weirton, WV 26062-3923

Mailing address

103 Seneca St
Weirton, WV 26062-2628

Other names 1

  • Karly M Wiley Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220708000660 WV Practitioner - Qualified Speech Language Pathologist 7214317213 Reassigns benefits to 1 organization
I20220920000128 PA Practitioner - Qualified Speech Language Pathologist 7214317213 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1405 Earl L Core Rd
Suite 1065
Morgantown, WV 26505-5885
Phone (330) 536-3042

418 Railroad St
Suite 102
Danville, PA 17821-1547
Phone (570) 360-8646

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1343OHMDChiropractor
2170WVMDDentist
SL015697PAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Tara Helwig Enterprises LLC Speech-Language Pathologist Current Accepting new patients
Tara Helwig Enterprises LLC Speech-Language Pathologist CurrentSince May 27, 2022 Accepting new patients

Locations

1776 Tech Park Dr NE
Ste 202
New Philadelphia, OH 44663
Phone (330) 536-3042

418 Railroad St
#102
Danville, PA 17821
Phone (570) 360-8646

1405 Earl L Core Rd
Morgantown, WV 26505
Phone (216) 223-8083

Organizations & group practices 2

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": "1613260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1366035024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 SENECA ST",
            "city": "WEIRTON",
            "state": "WV",
            "postal_code": "260622628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3428 PENNSYLVANIA AVE",
            "city": "WEIRTON",
            "state": "WV",
            "postal_code": "260623923",
            "telephone_number": "304-748-8370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "KARLY",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-14",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "1343",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL015697",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WV",
            "license": "2170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARLY",
            "last_name": "WILEY",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Weirton, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; 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.