Individual provider Active NPI

Rebecca W Marrero

  • Speech-Language Pathologist
  • Cullman, AL
National Provider Identifier
1457680522
Registry record updated Mar 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2959 Issued in AL
Practice address
811 2ND Ave SW
Cullman, AL 35055-4222
Phone
(256) 775-3737
Fax
(256) 775-3738
NPI assigned
Dec 18, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2023

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 2959 AL Primary

Addresses

Primary practice location

811 2ND Ave SW
Cullman, AL 35055-4222

Mailing address

251 Johnston St SE Ste 300
Decatur, AL 35601-2515
Phone (256) 350-1764

Other practice location 1

245 Cahaba Valley Pkwy
Pelham, AL 35124-2216
Phone (205) 942-6820

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230503000434 AL Practitioner - Qualified Speech Language Pathologist 2365807070 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2959ALMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Encore Rehabilitation, Inc CurrentSince Jan 16, 2023 Accepting new patients
Encore Rehabilitation, Inc. CurrentSince Jan 16, 2023 Accepting new patients
Encore Rehabilitation, Inc. Speech-Language Pathologist PastSince Feb 12, 2023 Accepting new patients

Locations

811 2nd Ave SW
Cullman, AL 35055
Phone (256) 775-3737

811 2nd Ave SW
Ste G
Cullman, AL 35055
Phone (256) 775-3737

251 Johnston St SE
Ste 300
Decatur, AL 35601
Phone (256) 340-9708

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.

NPI Registry JSON

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

{
    "created_epoch": "1261094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680134400000",
    "number": "1457680522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 JOHNSTON ST SE STE 300",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356012515",
            "telephone_number": "256-350-1764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 2ND AVE SW",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350554222",
            "telephone_number": "256-775-3737",
            "fax_number": "256-775-3738"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "245 Cahaba Valley Pkwy",
            "address_purpose": "LOCATION",
            "city": "Pelham",
            "state": "AL",
            "postal_code": "351242216",
            "country_code": "US",
            "telephone_number": "205-942-6820",
            "fax_number": "205-942-5884",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARRERO",
        "first_name": "REBECCA",
        "middle_name": "W",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-18",
        "last_updated": "2023-03-30",
        "certification_date": "2023-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AL",
            "license": "2959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cullman, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.