Active NPI
Alexandra M Philpott
- Speech-Language Pathologist
- Waxhaw, NC
National Provider Identifier
1548868623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 13650
- Practice address
- 2300 Gallberry LN
Waxhaw, NC 28173-0161 - Phone
- (704) 649-4509
- Fax
- (704) 843-9045
- NPI assigned
- Oct 12, 2020
- 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 | 13650 | NC | Primary |
Addresses
Primary practice location
2300 Gallberry LN
Waxhaw, NC 28173-0161
Mailing address
2300 Gallberry LN
Waxhaw, NC 28173-0161
Phone (704) 649-4509
Other names 1
- Alexandra Harrison
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
| License | State | Type | Specialty |
|---|---|---|---|
| 13650 | NC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Milestone Therapy Inc | Speech-Language Pathologist | Current | Accepting new patients |
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": "1602460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720483200000",
"number": "1548868623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300 GALLBERRY LN",
"city": "WAXHAW",
"state": "NC",
"postal_code": "281730161",
"telephone_number": "704-649-4509",
"fax_number": "704-843-9045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 GALLBERRY LN",
"city": "WAXHAW",
"state": "NC",
"postal_code": "281730161",
"telephone_number": "704-649-4509",
"fax_number": "704-843-9045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILPOTT",
"first_name": "ALEXANDRA",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-12",
"last_updated": "2024-07-09",
"certification_date": "2024-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "13650",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ALEXANDRA",
"last_name": "HARRISON",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Waxhaw, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.