Individual provider Active NPI

Alexandra J Tormanen, MS. CCC-SLP

  • Speech-Language Pathologist
  • Federal Way, WA
National Provider Identifier
1477241479
Registry record updated Aug 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
LL61425694 Issued in WA
Practice address
733 S 313TH St
Federal Way, WA 98003-5265
Phone
(334) 524-2304
NPI assigned
Apr 27, 2023
Last updated
Aug 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 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 LL61425694 WA Primary

Addresses

Primary practice location

733 S 313TH St
Federal Way, WA 98003-5265

Mailing address

733 S 313TH St
Federal Way, WA 98003-5265
Phone (334) 524-2304

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

State licenses

LicenseStateTypeSpecialty
LL61425694WAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sky Bridge Therapies LLC Speech-Language Pathologist PastSince Apr 1, 2023 Accepting new patients
Cole Sky Therapy PLLC PastSince Apr 1, 2023 Accepting new patients

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": "1682553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691712000000",
    "number": "1477241479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "733 S 313TH ST",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980035265",
            "telephone_number": "334-524-2304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "733 S 313TH ST",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980035265",
            "telephone_number": "334-524-2304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORMANEN",
        "first_name": "ALEXANDRA",
        "middle_name": "J",
        "credential": "MS. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-27",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL61425694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Federal Way, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.