Individual provider Active NPI

Andrea Rose Reyhons

  • Speech-Language Pathologist
  • Scottsdale, AZ
National Provider Identifier
1831628155
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP10585 Issued in AZ
Practice address
10049 E Dynamite Blvd Ste 110
Scottsdale, AZ 85262-3694
Phone
(480) 419-0848
NPI assigned
Jun 9, 2017
Last updated
Jun 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLP10585 AZ Primary

Addresses

Primary practice location

10049 E Dynamite Blvd Ste 110
Scottsdale, AZ 85262-3694

Mailing address

4340 E Indian School Rd Ste 21-297
Phoenix, AZ 85018-5394
Phone (419) 271-3235

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250703002157 AZ Practitioner - Qualified Speech Language Pathologist 2264945054 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SLP10585AZMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
A Better Tomorrow Therapy Inc. CurrentSince May 12, 2025 Accepting new patients
Dynamite Therapy, LLC PastSince Sep 9, 2011 Accepting new patients

Locations

4340 E Indian School Rd
Ste 21297
Phoenix, AZ 85018
Phone (419) 271-3235

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.

NPI Registry JSON

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

{
    "created_epoch": "1496966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1831628155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4340 E INDIAN SCHOOL RD STE 21-297",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850185394",
            "telephone_number": "419-271-3235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10049 E DYNAMITE BLVD STE 110",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852623694",
            "telephone_number": "480-419-0848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYHONS",
        "first_name": "ANDREA",
        "middle_name": "ROSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-09",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP10585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.