Phyllis Magelky LTD

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

PHYLLIS MAGELKY LTD

Practice address

3509 Interstate Blvd S Ste B
Fargo, ND 58103-2200

Phone

(701) 364-9070

Fax

(701) 364-9071

NPI assigned

Nov 2, 2009

Last updated

Mar 14, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alexander Magelky

Title

Owner

Phone

(701) 364-9070

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kennedy Bresnahan, OTR/L

  • Pediatric Occupational Therapist
  • Fargo, ND
  • NPI 1376188623
  NPD (past)
• Margaret Savage

  • Speech-Language Pathologist
  • Fargo, ND
  • NPI 1982120689
  NPD (past)
• Amanda Christine Walker, M.S., CFY-SLP

  • Speech-Language Pathologist
  • Fargo, ND
  • NPI 1083051072
  NPD (past)

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

{
    "created_epoch": "1257120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489449600000",
    "number": "1821324476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3509 INTERSTATE BLVD S STE B",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581032200",
            "telephone_number": "701-364-9070",
            "fax_number": "701-364-9071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3509 INTERSTATE BLVD S STE B",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581032200",
            "telephone_number": "701-364-9070",
            "fax_number": "701-364-9071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYLLIS MAGELKY LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-02",
        "last_updated": "2017-03-14",
        "status": "A",
        "authorized_official_last_name": "MAGELKY",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "701-364-9070"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "55482",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jay Robert Phillippi, PH.D.
• Jelisa Phillippi
• Brenda R Phillips, LAC
• Eden Phillips
• Sandra L Phillips, M. ED
• Marissa Rae Piasecki, RBT
• Bruce E Piatt, MD
• Payton Piatz, DNP, FNP
• Dori Anne Picard, RN
• Brittany Gayle Pickard

• Speech-Language Pathologist in Fargo, ND
• Providers in Fargo, ND by specialty
• Speech-Language Pathologist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.