Individual provider Active NPI

Alison L Kolonick

  • Speech-Language Pathologist
  • Broadview Heights, OH
National Provider Identifier
1831750538
Registry record updated Oct 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
COND20191080-SP Issued in OH
Practice address
3505 E Royalton Rd Ste 221
Broadview Heights, OH 44147-2998
Phone
(440) 241-8366
Fax
(440) 736-7600
NPI assigned
Jun 24, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2020

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 COND20191080-SP OH Primary

Addresses

Primary practice location

3505 E Royalton Rd Ste 221
Broadview Heights, OH 44147-2998

Mailing address

150 N Miller Rd Ste 150a
Fairlawn, OH 44333-3713
Phone (303) 867-2240

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.reachingnewhts.com Other

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

LicenseStateTypeSpecialty
COND20191080-SPOHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Reaching New Heights, LLC Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1561334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602633600000",
    "number": "1831750538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 N MILLER RD STE 150A",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443333713",
            "telephone_number": "303-867-2240",
            "fax_number": "303-630-3198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 E ROYALTON RD STE 221",
            "city": "BROADVIEW HEIGHTS",
            "state": "OH",
            "postal_code": "441472998",
            "telephone_number": "440-241-8366",
            "fax_number": "440-736-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLONICK",
        "first_name": "ALISON",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-24",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "COND20191080-SP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.reachingnewhts.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Practice Website",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3505 E Royalton Rd Ste 221",
            "city": "Broadview Heights",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441472998",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Broadview Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2020; 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.