Active NPI
Charlotte Reilly
- Speech-Language Pathologist
- Greenwood Village, CO
National Provider Identifier
1770263139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP.0005957
- Practice address
- 4850 S Yosemite St
Greenwood Village, CO 80111-1308 - Phone
- (720) 554-5050
- NPI assigned
- Jul 20, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | PSLP.0016727 | CO | |
| Speech-Language Pathologist | 235Z00000X | SLP.0005957 | CO | Primary |
Addresses
Primary practice location
4850 S Yosemite St
Greenwood Village, CO 80111-1308
Mailing address
4850 S Yosemite St
Greenwood Village, CO 80111-1308
Phone (720) 554-5050
Other practice location 1
6851 S Holly Cir Ste 290
Centennial, CO 80112-1076
Phone (720) 542-8737
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSLP.0016727 | CO | MD | Speech-Language Pathologist |
| SLP.0005957 | CO | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Speech Therapy Associates | Speech-Language Pathologist | Past | Accepting new patients |
| Pediatric Speech Therapy Associates | Speech-Language Pathologist | Past | Accepting new patients |
| Pediatric Speech Therapy Associates | Speech-Language Pathologist | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Speech-Language Pathologist
- Parker, CO
- NPI 1184343345
-
- Speech-Language Pathologist
- Centennial, CO
- NPI 1285887273
-
- Speech-Language Pathologist
- Denver, CO
- NPI 1851797211
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723075200000",
"number": "1770263139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4850 S YOSEMITE ST",
"city": "GREENWOOD VILLAGE",
"state": "CO",
"postal_code": "801111308",
"telephone_number": "720-554-5050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4850 S YOSEMITE ST",
"city": "GREENWOOD VILLAGE",
"state": "CO",
"postal_code": "801111308",
"telephone_number": "720-554-5050"
}
],
"practiceLocations": [
{
"address_1": "6851 S Holly Cir Ste 290",
"address_purpose": "LOCATION",
"city": "Centennial",
"state": "CO",
"postal_code": "801121076",
"country_code": "US",
"telephone_number": "720-542-8737",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REILLY",
"first_name": "CHARLOTTE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-20",
"last_updated": "2024-08-08",
"certification_date": "2024-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CO",
"license": "PSLP.0016727",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CO",
"license": "SLP.0005957",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenwood Village, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.