Individual provider Active NPI

Brooke Terry Sorrells, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Huntsville, AL
National Provider Identifier
1699289082
Registry record updated Oct 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
3936 Issued in AL
Practice address
1101 McMurtrie Dr NW Ste G1
Huntsville, AL 35806-2471
Phone
(256) 286-5318
Fax
(256) 517-9528
NPI assigned
Nov 22, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 14093036
Speech-Language Pathologist 235Z00000X 3936 AL Primary

Addresses

Primary practice location

1101 McMurtrie Dr NW Ste G1
Huntsville, AL 35806-2471

Mailing address

505 Balsam Terrace Way SW
Huntsville, AL 35824-3509
Phone (256) 286-5318

Other identifiers 1

IdentifierTypeStateIssuer
274353MedicaidAL

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
3936ALMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Beyond Speech Therapy LLC Speech-Language Pathologist CurrentSince Oct 30, 2022 Accepting new patients

Locations

185 Chateau Dr SW
Ste 102
Huntsville, AL 35801
Phone (256) 489-1583

1101 McMurtrie Dr NW
Ste G1
Huntsville, AL 35806
Phone (256) 213-7477

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1511308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666828800000",
    "number": "1699289082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 BALSAM TERRACE WAY SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358243509",
            "telephone_number": "256-286-5318",
            "fax_number": "256-517-9528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 MCMURTRIE DR NW STE G1",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358062471",
            "telephone_number": "256-286-5318",
            "fax_number": "256-517-9528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORRELLS",
        "first_name": "BROOKE",
        "middle_name": "TERRY",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-22",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": "14093036",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AL",
            "license": "3936",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "274353",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2022; 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.