Active NPI
Rebeca Alvarez
- Speech-Language Pathologist
- Minneapolis, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 1250 W Broadway Ave
Minneapolis, MN 55411-2533 - Phone
- (612) 688-0254
- NPI assigned
- Jun 12, 2024
- 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 | Primary |
Addresses
Primary practice location
1250 W Broadway Ave
Minneapolis, MN 55411-2533
Mailing address
1410 Carling Dr Apt 101
Saint Paul, MN 55108-5216
Phone (507) 217-7961
Other practice location 1
6545 Flying Cloud Dr Ste 201
Eden Prairie, MN 55344-3356
Phone (612) 364-1901
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240708000676 | MN | Practitioner - Qualified Speech Language Pathologist | 3971047531 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Fox Rehabilitation Services MN LLC
Practice addresses (Care Compare)
Minnetonka, MN 55305
Phone (877) 407-3422
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fox Rehabilitation Services MN LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Odom Sports Medicine, P.a. | Current | Accepting new patients | |
| Special School District #1 | Past | Accepting new patients |
Locations
6545 Flying Cloud Dr
Ste 201
Eden Prairie, MN 55344
Phone (612) 364-1901
10653 Wayzata Blvd
Ste 200
Minnetonka, MN 55305
Phone (612) 364-1901
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.
-
- Physical Therapist
- Minnetonka, MN
- NPI 1356802862
MN, Speech-Language Pathologist
-
- Sports Medicine (Family Medicine) Physician
- Eden Prairie, MN
- NPI 1275557886
MN
-
- Local Education Agency (LEA)
- Minneapolis, MN
- NPI 1619053378
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772409600000",
"number": "1447092291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1410 CARLING DR APT 101",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551085216",
"telephone_number": "507-217-7961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1250 W BROADWAY AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554112533",
"telephone_number": "612-688-0254"
}
],
"practiceLocations": [
{
"address_1": "6545 Flying Cloud Dr Ste 201",
"address_purpose": "LOCATION",
"city": "Eden Prairie",
"state": "MN",
"postal_code": "553443356",
"country_code": "US",
"telephone_number": "612-364-1901",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALVAREZ",
"first_name": "REBECA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-12",
"last_updated": "2026-03-02",
"certification_date": "2026-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2026; 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.