Organization Active NPI

Neuro SLP Services

Doing business as Sagebrush Speech Therapy

  • Speech-Language Pathologist
  • Bend, OR
National Provider Identifier
1558054387
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
NEURO SLP SERVICES
Doing business as
Sagebrush Speech Therapy
Practice address
123 SW Columbia St Ste 100
Bend, OR 97702-3609
Phone
(541) 204-1757
Fax
(541) 204-1757
NPI assigned
May 29, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Allison Phillips, CCC-SLPNPI 1467958173
Title
Owner and SLP
Phone
(402) 515-0538

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

123 SW Columbia St Ste 100
Bend, OR 97702-3609

Mailing address

123 SW Columbia St Ste 100
Bend, OR 97702-3609
Phone (402) 515-0538

Other names 1

  • Sagebrush Speech Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230617000101 OR Part B Supplier - Clinic/Group Practice 9638537095 Receives reassigned benefits from 4 practitioners
Practice locations: Bend, OR

National Provider Directory

National Provider Directory

Locations

123 SW Columbia St
Ste 100
Bend, OR 97702
Phone (541) 204-1757

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1685318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780531200000",
    "number": "1558054387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 SW COLUMBIA ST STE 100",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023609",
            "telephone_number": "402-515-0538",
            "fax_number": "541-632-8299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 SW COLUMBIA ST STE 100",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023609",
            "telephone_number": "541-204-1757",
            "fax_number": "541-204-1757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEURO SLP SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-29",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_title_or_position": "OWNER AND SLP",
        "authorized_official_telephone_number": "402-515-0538",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sagebrush Speech Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2026; 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.