Individual provider Active NPI

Sally Hines

  • Speech-Language Pathologist
  • Scottsdale, AZ
National Provider Identifier
1538494133
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP6403 Issued in AZ
Practice address
6034 E Calle del Paisano
Scottsdale, AZ 85251-4251
Phone
(480) 947-4352
NPI assigned
Oct 15, 2009
Last updated
Sep 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

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 SLP6403 AZ Primary

Addresses

Primary practice location

6034 E Calle del Paisano
Scottsdale, AZ 85251-4251

Mailing address

6034 E Calle del Paisano
Scottsdale, AZ 85251-4251
Phone (480) 947-4352

Other practice location 1

7120 E Sahuaro Dr
Scottsdale, AZ 85254-5238
Phone (602) 726-2300

Other identifiers 2

IdentifierTypeStateIssuer
SLP6403OtherAZAZ DEPARTMENT OF HEALTH SERVICES
470157MedicaidAZ

Other names 1

  • Sarah Brevoort Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191220002033 AZ Practitioner - Qualified Speech Language Pathologist 8426482613 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SLP6403AZMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Achievement Therapy Services CurrentSince Oct 15, 2019 Accepting new patients
Theraplay4Kidz, LLC Speech-Language Pathologist CurrentSince Feb 1, 2021 Accepting new patients

Locations

21045 N 9th Pl
Ste 204
Phoenix, AZ 85024
Phone (480) 548-2601

530 E McDowell Rd
Ste 107495
Phoenix, AZ 85004

32531 N Scottsdale Rd
Ste 105
Scottsdale, AZ 85266

7120 E Sahuaro Dr
Scottsdale, AZ 85254
Phone (480) 488-3946

9525 E Doubletree Ranch Rd
Ste 101
Scottsdale, AZ 85258
Phone (480) 488-3946

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": "1255564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757635200000",
    "number": "1538494133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6034 E CALLE DEL PAISANO",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852514251",
            "telephone_number": "480-947-4352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6034 E CALLE DEL PAISANO",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852514251",
            "telephone_number": "480-947-4352"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7120 E Sahuaro Dr",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852545238",
            "country_code": "US",
            "telephone_number": "602-726-2300",
            "fax_number": "602-726-2322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HINES",
        "first_name": "SALLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-15",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP6403",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ DEPARTMENT OF HEALTH SERVICES",
            "identifier": "SLP6403",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "470157",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "BREVOORT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2025; 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.