Individual provider Active NPI

Sharon Hendrickson-Pfeil, CCC-SLP

  • Speech-Language Pathologist
  • Tucson, AZ
National Provider Identifier
1609919133
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
1027 Issued in AZ
Practice address
1601 N Tucson Blvd
Suite 5-a
Tucson, AZ 85716-3425
Phone
(520) 325-6595
NPI assigned
Feb 15, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 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 1027 AZ Primary

Addresses

Primary practice location

1601 N Tucson Blvd
Suite 5-a
Tucson, AZ 85716-3425

Mailing address

1601 N Tucson Blvd
Suite 5-a
Tucson, AZ 85716-3425
Phone (520) 325-6595

Other practice location 1

108 W University Dr
Mesa, AZ 85201-5818
Phone (480) 668-1917

Other identifiers 1

IdentifierTypeStateIssuer
801119MedicaidAZ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161010000407 AZ Practitioner - Qualified Speech Language Pathologist 0648568543 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy One, PLLC Speech-Language Pathologist CurrentSince Feb 1, 2016 Accepting new patients
Integrated Therapy Services, LLC Speech-Language Pathologist CurrentSince Jun 1, 2022 Accepting new patients
Sharon Hendrickson Pfeil, M.S., CCC, LLC Past Accepting new patients

Locations

108 W University Dr
Mesa, AZ 85201
Phone (480) 649-3774

3920 E 5th St
Tucson, AZ 85711
Phone (520) 471-0283

Organizations & group practices 3

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": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1609919133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 N TUCSON BLVD",
            "address_2": "SUITE 5-A",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857163425",
            "telephone_number": "520-325-6595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 N TUCSON BLVD",
            "address_2": "SUITE 5-A",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857163425",
            "telephone_number": "520-325-6595"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "108 W University Dr",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852015818",
            "country_code": "US",
            "telephone_number": "480-668-1917",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENDRICKSON-PFEIL",
        "first_name": "SHARON",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-15",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "1027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "801119",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.