Active NPI
Mary O'Grady
- Speech-Language Pathologist
- Shalimar, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA7
- Practice address
- 1200 Hawthorn House Dr
Shalimar, FL 32579-1168 - Phone
- (850) 380-2586
- NPI assigned
- Jul 18, 2019
- Last updated
- Aug 21, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SA7 | FL | Primary |
Addresses
Primary practice location
1200 Hawthorn House Dr
Shalimar, FL 32579-1168
Mailing address
808 Pine Alley St
Fort Walton Beach, FL 32547-1216
Phone (850) 380-2586
Other practice location 1
4 W Red Oak Ln Ste 201
White Plains, NY 10604-3603
Phone (914) 390-4353
Other practice location 2
13137 Sorrento Rd
Suite C
Pensacola, FL 32507
Phone (850) 416-0025
Other practice location 3
138 Sandestin Ln
Miramar Beach, FL 32550-5815
Phone (850) 267-2887
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA7 | FL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Select Rehabilitation, LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Brookfield Physical Rehabilitation, LLC | Current | Accepting new patients |
Organizations & group practices 2
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.
-
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- NPI 1891339719
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- Glenview, IL
- NPI 1346368248
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692576000000",
"number": "1730732835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "808 PINE ALLEY ST",
"city": "FORT WALTON BEACH",
"state": "FL",
"postal_code": "325471216",
"telephone_number": "850-380-2586"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 HAWTHORN HOUSE DR",
"city": "SHALIMAR",
"state": "FL",
"postal_code": "325791168",
"telephone_number": "850-380-2586"
}
],
"practiceLocations": [
{
"address_1": "4 W Red Oak Ln Ste 201",
"address_purpose": "LOCATION",
"city": "White Plains",
"state": "NY",
"postal_code": "106043603",
"country_code": "US",
"telephone_number": "914-390-4353",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "13137 Sorrento Rd",
"address_2": "Suite C",
"address_purpose": "LOCATION",
"city": "Pensacola",
"state": "FL",
"postal_code": "32507",
"country_code": "US",
"telephone_number": "850-416-0025",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "138 Sandestin Ln",
"address_purpose": "LOCATION",
"city": "Miramar Beach",
"state": "FL",
"postal_code": "325505815",
"country_code": "US",
"telephone_number": "850-267-2887",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "O'GRADY",
"first_name": "MARY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-18",
"last_updated": "2023-08-21",
"certification_date": "2023-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA7",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shalimar, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.