Individual provider Active NPI

Mary Alexia Wells Howard, SPEECH PATHOLOGIST M

  • Speech-Language Pathologist
  • Owensboro, KY
National Provider Identifier
1720498744
Registry record updated Oct 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
13-029 Issued in KY
Practice address
724 Harvard Dr
Owensboro, KY 42301-6152
Phone
(270) 240-5051
NPI assigned
Apr 29, 2014
Last updated
Oct 27, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2021

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 13-029 KY Primary

Addresses

Primary practice location

724 Harvard Dr
Owensboro, KY 42301-6152

Mailing address

2139 S Stratford Dr
Owensboro, KY 42301-3429
Phone (270) 625-4003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250306003096 KY Practitioner - Qualified Speech Language Pathologist 1759802788 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13-029KYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Progressive Sports Therapy, LLC. Speech-Language Pathologist CurrentSince Jan 25, 2025 Accepting new patients
Building Blocks Therapy Clinic CurrentSince Oct 31, 2021 Accepting new patients
JB Therapy Services PLLC Speech-Language Pathologist Past Accepting new patients

Locations

1605 Scherm Rd
Ste 1
Owensboro, KY 42301
Phone (270) 685-9499

724 Harvard Dr
Owensboro, KY 42301
Phone (270) 240-5051

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1398729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635292800000",
    "number": "1720498744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2139 S STRATFORD DR",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423013429",
            "telephone_number": "270-625-4003",
            "fax_number": "270-683-9993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 HARVARD DR",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423016152",
            "telephone_number": "270-240-5051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOWARD",
        "first_name": "MARY ALEXIA",
        "middle_name": "WELLS",
        "name_prefix": "Mrs.",
        "credential": "SPEECH PATHOLOGIST M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-29",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "13-029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owensboro, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; 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.