Individual provider Active NPI

Sarah Altic, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Knoxville, TN
National Provider Identifier
1609119825
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
4970 Issued in TN
Practice address
10335 Kingston Pike
Knoxville, TN 37922-3224
Phone
(865) 851-9192
Fax
(865) 381-1919
NPI assigned
Apr 5, 2013
Last updated
Sep 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

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 4970 TN Primary

Addresses

Primary practice location

10335 Kingston Pike
Knoxville, TN 37922-3224

Mailing address

10335 Kingston Pike
Knoxville, TN 37922-3224
Phone (865) 851-9192

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
4970TNMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Discover Speech Therapy, LLC Speech-Language Pathologist CurrentSince Jun 1, 2021 Accepting new patients

Locations

10241 Kingston Pike
Ste 3
Knoxville, TN 37922
Phone (865) 851-9192

10335 Kingston Pike
Knoxville, TN 37922
Phone (865) 851-9192

9237 Middlebrook Pike
Knoxville, TN 37931
Phone (865) 409-1810

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, 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": "1365120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1609119825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10335 KINGSTON PIKE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379223224",
            "telephone_number": "865-851-9192",
            "fax_number": "865-381-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10335 KINGSTON PIKE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379223224",
            "telephone_number": "865-851-9192",
            "fax_number": "865-381-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALTIC",
        "first_name": "SARAH",
        "name_prefix": "Mrs.",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-05",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "4970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.

Verify at the official NPI Registry.