Alexa Buckley, MA CCC SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

7101008802 Issued in MI

Practice address

42804 Garfield Rd
Clinton Township, MI 48038-1656

Phone

(586) 323-2957

NPI assigned

Mar 19, 2024

Sex

Female

Sole proprietor

No

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

Enrolled in MI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

Practice roles

Locations

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.

• Crawl Walk Jump Run Therapy Clinic LLC

  • Physical Therapist
  • Sterling Heights, MI
  • NPI 1730363573
  Medicare reassignment NPD
• Crawl Walk Jump Run Therapy Clinic

  • Rehabilitation Clinic/Center
  • Clinton Township, MI
  • NPI 1720488620
  NPD (past)
• Milestones Autism Center LLC

  • Speech-Language Pathologist
  • Washington, MI
  • NPI 1629880737
  NPD (past)
• Milestones Autism Center LLC

  • Behavior Analyst
  • Washington, MI
  • NPI 1780330548

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1710806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746144000000",
    "number": "1700646783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30121 RAINTREE CIR",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480474666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42804 GARFIELD RD",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480381656",
            "telephone_number": "586-323-2957"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "65800 Van Dyke Rd",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "MI",
            "postal_code": "480952041",
            "country_code": "US",
            "telephone_number": "586-945-4449",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUCKLEY",
        "first_name": "ALEXA",
        "credential": "MA CCC SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-19",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101008802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cody Andrew Brush, DPM
• Kelly Bryks
• Allison Brynaert, R.N.
• Bubble Gum Kids Dentistry Clinton TWP
• Christina Michelle Buchanan
• Kelly Renee Buckman, LLMSW
• Amber E Budzinski, PAC
• Matthew Buechler
• Jacquelyn Buffo
• Molly Patricia Bugamelli

• Speech-Language Pathologist in Clinton Township, MI
• Providers in Clinton Township, MI by specialty
• Speech-Language Pathologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.