Alex Koller, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP001054 Issued in DC

Practice address

20397 Route 19
Suite 30
Cranberry Township, PA 16066-6133

Phone

(412) 577-8411

NPI assigned

Apr 12, 2017

Last updated

Apr 12, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Bumblebee Pediatric Therapy LLC

  • Speech-Language Pathologist
  • Washington, DC
  • NPI 1174239487
  NPD Authorized official

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

{
    "created_epoch": "1491955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491955200000",
    "number": "1629502067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 LANCASTER AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152282354",
            "telephone_number": "412-577-8411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20397 ROUTE 19",
            "address_2": "SUITE 30",
            "city": "CRANBERRY TOWNSHIP",
            "state": "PA",
            "postal_code": "160666133",
            "telephone_number": "412-577-8411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLLER",
        "first_name": "ALEX",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-12",
        "last_updated": "2017-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "DC",
            "license": "SLP001054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert M Klaich, D.M.D.
• Briauna Makayla Klingensmith
• Jeffrey Klink, D.M.D., DMD
• Andrew Kohl
• Chance Kolhmeyer
• Madyson Konieczki
• Tina E. Kooser, PH.D.
• Nancy Collman Korber, MS,PT
• Donna Marie Korczyk, PH.D.
• David Michael Kosiorek, D.M.D.

• Speech-Language Pathologist in Cranberry Township, PA
• Providers in Cranberry Township, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2017; 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.