NPIMap

Individual provider Active NPI

Ali Vaez Gammi, CCC.SLP

  • Speech-Language Pathologist
  • Hagerstown, MD
National Provider Identifier
1730207929
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
04495 Issued in MD
Practice address
333 Mill St
Hagerstown, MD 21740-6473
Phone
(301) 665-8700
NPI assigned
Mar 26, 2007
Last updated
May 7, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2025

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 04495 MD Primary

Addresses

Primary practice location

333 Mill St
Hagerstown, MD 21740-6473

Mailing address

16905 Horn Point Dr
Gaithersburg, MD 20878-2085
Phone (301) 525-5553

Other names 1

  • Ali Vaezghaemi Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler Other Fox Rehabilitation Services LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170223000216 DC Practitioner - Qualified Speech Language Pathologist 7618109166 Reassigns benefits to 2 organizations
I20230927001930 MD Practitioner - Qualified Speech Language Pathologist 7618109166 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Physio in Motion - Mobile Physical Therapy and Wellness LLC CurrentSince Nov 1, 2020 Accepting new patients
Fox Rehab SLP MD LLC Speech-Language Pathologist CurrentSince Sep 1, 2023 Accepting new patients
Fox Rehabilitation Services LLC CurrentSince Sep 1, 2023 Accepting new patients
Magnolia Rehabilitation Services, LLC Speech-Language Pathologist Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Bayada Home Health Care, Inc. PastSince Dec 6, 2016 Accepting new patients

Locations

11665 Doolittle Dr
Waldorf, MD 20602
Phone (301) 638-4100

7 Carnegie Plz
Cherry Hill, NJ 08003

Organizations & group practices 6

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": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746576000000",
    "number": "1730207929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16905 HORN POINT DR",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208782085",
            "telephone_number": "301-525-5553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 MILL ST",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217406473",
            "telephone_number": "301-665-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMMI",
        "first_name": "ALI",
        "middle_name": "VAEZ",
        "name_prefix": "Mr.",
        "credential": "CCC.SLP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "04495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
            "affiliationName": "Fox Rehabilitation Services LLC",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "9885 Greenbelt Rd",
            "city": "Lanham",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207062302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ALI",
            "last_name": "VAEZGHAEMI",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hagerstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.