Wendy Blake, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP006297 Issued in GA

Practice address

133 Gold Mill PL
Canton, GA 30114-4025

Phone

(470) 504-4905

Fax

(470) 202-2043

NPI assigned

Apr 22, 2009

Last updated

Jul 15, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Wendy Greene Former name

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Inclusive Rehabilitation LLCGroup PAC ID 3476958976, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Inclusive Rehabilitation LLC

  • Speech-Language Pathologist
  • Canton, GA
  • NPI 1417525916
  Medicare reassignment Care Compare group NPD Authorized official
• Horizons Therapy Group, Inc.

  • Physical Therapist
  • Cedartown, GA
  • NPI 1720373020
  Medicare reassignment NPD
• Inclusive Rehabilitation LLC

  • Speech-Language Pathologist
  • Knoxville, TN
  • NPI 1295626448
  NPD Authorized official
• Core Independence LLC

  • Physical Therapist
  • Kennesaw, GA
  • NPI 1922425396

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1240358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752537600000",
    "number": "1609010529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 GOLD MILL PL",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301144025",
            "telephone_number": "703-400-5518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 GOLD MILL PL",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301144025",
            "telephone_number": "470-504-4905",
            "fax_number": "470-202-2043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAKE",
        "first_name": "WENDY",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-22",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP006297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WENDY",
            "last_name": "GREENE",
            "credential": "SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ravi Dinesh Bhatia, DO
• Scott L. Biddulph, R.PH.
• Benjamin Daniel Bird
• George Birdsong
• Adrien Blackmon, D.A.
• Carli Jo Blomquist, MD.
• Blue Ridge Hospice, Inc.
• Bluesprig Autism
• Sara Elizabeth Bobo, NP
• Amy B Boehm, RD, LD

• Speech-Language Pathologist in Canton, GA
• Providers in Canton, GA by specialty
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.