Active NPI
Amy Trail, M.S., CCC-SLP
- Speech-Language Pathologist
- Dallas, TX
National Provider Identifier
1447976899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 1966 Inwood Rd
Dallas, TX 75235-7205 - Phone
- (972) 883-3030
- Fax
- (972) 883-3022
- NPI assigned
- Oct 18, 2022
- 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
1966 Inwood Rd
Dallas, TX 75235-7205
Mailing address
9510 Brockbank Dr
Dallas, TX 75220-6801
Other practice location 1
9510 Brockbank Dr
Dallas, TX 75220-6801
Phone (972) 794-2061
Other names 1
- Amy Raiff
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
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Texas at Dallas | Speech-Language Pathologist | Current | Accepting new patients |
Locations
1966 Inwood Rd
Dallas, TX 75235
Phone (972) 883-3010
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721174400000",
"number": "1447976899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9510 BROCKBANK DR",
"city": "DALLAS",
"state": "TX",
"postal_code": "752206801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1966 INWOOD RD",
"city": "DALLAS",
"state": "TX",
"postal_code": "752357205",
"telephone_number": "972-883-3030",
"fax_number": "972-883-3022"
}
],
"practiceLocations": [
{
"address_1": "9510 Brockbank Dr",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752206801",
"country_code": "US",
"telephone_number": "972-794-2061",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TRAIL",
"first_name": "AMY",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-18",
"last_updated": "2024-07-17",
"certification_date": "2024-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMY",
"last_name": "RAIFF",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.