Individual provider Active NPI

Marti Ann Wolford, MA CC SLP

  • Speech-Language Pathologist
  • Westmont, IL
National Provider Identifier
1679625271
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146 006338 Issued in IL
Practice address
1 S Cass Ave Ste 202
Westmont, IL 60559-1893
Phone
(630) 353-9158
NPI assigned
Jan 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 146 006338 IL Primary

Addresses

Primary practice location

1 S Cass Ave Ste 202
Westmont, IL 60559-1893

Mailing address

1 S Cass Ave Ste 202
Westmont, IL 60559-1893
Phone (630) 353-9158

Other practice location 1

1049 East WIlson Street
Suite 100
Batavia, IL 60510
Phone (630) 761-0900

Other names 1

  • Marti Ann Graham Former name

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 Arts

State licenses

LicenseStateTypeSpecialty
146 006338ILMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1679625271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 S CASS AVE STE 202",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605591893",
            "telephone_number": "630-353-9158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 S CASS AVE STE 202",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605591893",
            "telephone_number": "630-353-9158"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1049 East WIlson Street",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Batavia",
            "state": "IL",
            "postal_code": "60510",
            "country_code": "US",
            "telephone_number": "630-761-0900",
            "fax_number": "630-761-0909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOLFORD",
        "first_name": "MARTI",
        "middle_name": "ANN",
        "credential": "MA CC SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146 006338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARTI",
            "last_name": "GRAHAM",
            "middle_name": "ANN",
            "credential": "MA CC SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Westmont, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.