Individual provider Active NPI

Allyson Hendrickson

  • Speech-Language Pathologist
  • East Liverpool, OH
National Provider Identifier
1366297970
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP.13699 Issued in OH
Practice address
15655 State Route 170
East Liverpool, OH 43920-9069
Phone
(330) 386-2054
NPI assigned
Apr 18, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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 SP.13699 OH Primary

Addresses

Primary practice location

15655 State Route 170
East Liverpool, OH 43920-9069

Mailing address

122 Matthews Dr
Beaver, PA 15009-9398

Other practice location 1

122 Matthews Dr
Beaver, PA 15009-9398
Phone (724) 561-9262

Other names 1

  • Allyson Dehart Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, PA, TX3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20240530001677 OH Practitioner - Qualified Speech Language Pathologist 2163864505 Reassigns benefits to 1 organization
I20240607002814 PA Practitioner - Qualified Speech Language Pathologist 2163864505 Reassigns benefits to 1 organization
I20240926004661 TX Practitioner - Qualified Speech Language Pathologist 2163864505 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Expressable Therapy PCGroup PAC ID 0042698136, 67 clinicians
Expressable Speech-Language Pathology PCGroup PAC ID 4688074511, 115 clinicians

Practice addresses (Care Compare)

100 S Juniper St
Philadelphia, PA 19107-2703
Phone (561) 462-3933

300 E Business Way
Suite 200
Cincinnati, OH 45241-2389
Phone (512) 399-0064

3800 N Lamar Blvd
Suite 200
Austin, TX 78756-0003
Phone (512) 377-6318

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SP.13699OHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Expressable Therapy PC Speech-Language Pathologist CurrentSince Jun 3, 2024 Accepting new patients
Expressable Speech-Language Pathology, P.C. Speech-Language Pathologist CurrentSince Jun 3, 2024 Accepting new patients

Locations

633 W 5th St
Ofc 2876B
Los Angeles, CA 90071

300 E Business Way
Cincinnati, OH 45241
Phone (513) 349-1014

100 E Campus View Blvd
Ste 250
Columbus, OH 43235
Phone (267) 817-8902

300 E Business Way
Ste 200
Sharonville, OH 45241
Phone (513) 224-3597

100 S Juniper St
Fl 3
Philadelphia, PA 19107
Phone (267) 999-9534

7600 Chevy Chase Dr
Ste 300
Austin, TX 78752
Phone (512) 318-2503

3800 N Lamar Blvd
Ste 200
Austin, TX 78756
Phone (303) 578-2702

204 E Cano St
Edinburg, TX 78539
Phone (956) 642-0828

363 N Sam Houston Pkwy E
Ste 1100
Houston, TX 77060
Phone (281) 809-7214

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1713398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1366297970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 MATTHEWS DR",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150099398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15655 STATE ROUTE 170",
            "city": "EAST LIVERPOOL",
            "state": "OH",
            "postal_code": "439209069",
            "telephone_number": "330-386-2054"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "122 Matthews Dr",
            "address_purpose": "LOCATION",
            "city": "Beaver",
            "state": "PA",
            "postal_code": "150099398",
            "country_code": "US",
            "telephone_number": "724-561-9262",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENDRICKSON",
        "first_name": "ALLYSON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-18",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP.13699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALLYSON",
            "last_name": "DEHART",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in East Liverpool, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.