Alison Van Brocklin

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

S4364 Issued in MS

Practice address

154 Woodland Rd
Batesville, MS 38606-7300

Phone

(662) 563-5636

NPI assigned

Mar 26, 2018

Sex

Female

Sole proprietor

No

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.

• Healthpro Heritage Rehab & Fitness, LLC

  • Physical Therapist
  • Tucson, AZ
  • NPI 1942793534

  MS, Speech-Language Pathologist

  Medicare reassignment Care Compare group NPD
• Healthpro Heritage Rehab & Fitness, LLC

  • Physical Therapist
  • Independence, MO
  • NPI 1871072462

  Speech-Language Pathologist

  Care Compare group NPD
• Healthpro Heritage Rehab & Fitness, LLC

  • Physical Therapist
  • Merrillville, IN
  • NPI 1053833657
  Care Compare group
• Healthpro Heritage Rehab & Fitness, LLC

  • Physical Therapist
  • Tallulah, LA
  • NPI 1154852382
  Care Compare group
• Healthpro Heritage Rehab & Fitness, LLC

  • Physical Therapist
  • Abington, PA
  • NPI 1235653403
  Care Compare group
• Healthpro Heritage Rehab & Fitness, LLC

  • Physical Therapist
  • Mountain Home, AR
  • NPI 1235780115
  Care Compare group
• Healthpro Heritage Rehab & Fitness, LLC

  • Physical Therapist
  • Menomonee Falls, WI
  • NPI 1245755487
  Care Compare group
• Healthpro Heritage Rehab & Fitness, LLC

  • Physical Therapist
  • Boulder, CO
  • NPI 1376038646
  Care Compare group
• Healthpro Heritage Rehab & Fitness, LLC

  • Physical Therapist
  • Clinton, TN
  • NPI 1376073262
  Care Compare group
• Healthpro Heritage Rehab & Fitness, LLC

  • Physical Therapist
  • Dallas, OR
  • NPI 1376272732
  Care Compare group
• Healthpro Heritage Rehab & Fitness, LLC

  • Physical Therapist
  • Brownstown TWP, MI
  • NPI 1457868937
  Care Compare group
• Healthpro Heritage Rehab & Fitness, LLC

  • Physical Therapist
  • Chester, CT
  • NPI 1467892356
  Care Compare group

Specialty

Qualified Speech Language Pathologist

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Healthpro Heritage Rehab and Fitness LLC 976 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 26, 2018.

{
    "created_epoch": "1522022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522022400000",
    "number": "1689179319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 MARTIN LUTHER KING JR DR",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386553010",
            "telephone_number": "404-509-7004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 WOODLAND RD",
            "city": "BATESVILLE",
            "state": "MS",
            "postal_code": "386067300",
            "telephone_number": "662-563-5636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN BROCKLIN",
        "first_name": "ALISON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-26",
        "last_updated": "2018-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MS",
            "license": "S4364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clara Tomlinson
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• Trilakes Anesthesia
• Linda A Turner
• United Healthcare and Hospice
• Vascular Institute Ms Surgery Center LLC
• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP
• Harold Keith Waldrip
• Walgreen Co

• All providers in Batesville, MS
• Speech-Language Pathologist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2018; 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.