Deanna May Bradshaw, MS, CF-SLP
Individual provider Active NPI Speech-Language Pathologist · Anchorage, AK
NPI 1780418525 · NPPES record last updated Nov 14, 2024
Key facts
- NPI
- 1780418525
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 226407 (AK)
- Practice address
- 3074 Mountain View Dr Ste 184&187
Anchorage, AK 99501-3144 - Phone
- (907) 531-1888
- NPI assigned
- Aug 26, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AK
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250121001774 | AK | Practitioner - Qualified Speech Language Pathologist | 7517496532 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Select Physical Therapy Holdings Inc | Current |
Accepting new patients | |
| Select Physical Therapy Holdings, Inc. | Current |
Accepting new patients | |
| Select Physical Therapy Holdings Inc | Current | Accepting new patients |
Locations
3074 Mountain View Dr
Ste 184187
Anchorage, AK 99501
Phone (907) 531-1888
3074 Mountain View Dr
Anchorage, AK 99501
Phone (907) 531-1888
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 226407 | AK | Yes |
Addresses
Primary practice location
3074 Mountain View Dr Ste 184&187
Anchorage, AK 99501-3144
Mailing address
3074 Mountain View Dr Ste 184&187
Anchorage, AK 99501-3144
Phone (907) 531-1888
Other providers in Anchorage, AK
- Andrew Bradley
- Carolyn Bradley
- Denisha Bradley
- Elijah Bradley
- Deandre' Antonio Bradshaw
- Chester Upton Bradstreet
- Jeanne C Brady
- Patrick David Brady
- Shane Gregory Brady
- John Stuart Bragg Jr.
All providers in Anchorage, AK · Speech-Language Pathologist in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 14, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.