Madeline Phelps, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP-293313 Issued in KY

Practice address

605 Park Plaza Dr
Owensboro, KY 42301-5485

Phone

(270) 478-4366

Fax

(270) 478-4367

NPI assigned

Aug 15, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Madeline Flaherty Former name

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Joni Flaherty Physical Therapy, LLCGroup PAC ID 1951568708, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Joni Flaherty Physical Therapy, LLC

  • Physical Therapist
  • Owensboro, KY
  • NPI 1205103587

  Speech-Language Pathologist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1723680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1811729122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "868 TURTLE CREEK DR",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423018980",
            "telephone_number": "270-315-5538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 PARK PLAZA DR",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423015485",
            "telephone_number": "270-478-4366",
            "fax_number": "270-478-4367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHELPS",
        "first_name": "MADELINE",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-15",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "SLP-293313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MADELINE",
            "last_name": "FLAHERTY",
            "credential": "SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Therese Marie Petzold, MSW, LCSW
• Alexandria Phelps, OTR/L
• Kalin Shay Phelps, MS, OTR/L
• Leslie C Phelps, APRN
• Lionel Phelps, PSYD.
• Trisha Phelps, PT
• Craig Phifer
• Caleb Phillips
• Holly Foster Phillips
• John Martin Phillips II, M.D.

• Speech-Language Pathologist in Owensboro, KY
• Providers in Owensboro, KY by specialty
• Speech-Language Pathologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.