Active NPI
Kelly Muir Salmon
- Speech-Language Pathologist
- Taylor, MI
National Provider Identifier
1891027744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 7101002672
- Practice address
- 22950 Northline Rd.
Taylor, MI 48180-6912 - Phone
- (734) 287-1230
- Fax
- (734) 287-8332
- NPI assigned
- Feb 3, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SL009765 | PA | |
| Speech-Language Pathologist | 235Z00000X | 7101002672 | MI | Primary |
Addresses
Primary practice location
22950 Northline Rd.
Taylor, MI 48180-6912
Mailing address
136 St. Matthews Ave
#300
Louisville, KY 40207
Phone (502) 897-1700
Other names 1
- Miss Kelly Anne Muir
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
| License | State | Type | Specialty |
|---|---|---|---|
| 7101002672 | MI | MD | Speech-Language Pathologist |
| SL009765 | PA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoenix Rehab, LLC | 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.
-
- Rehabilitation Clinic/Center
- Bowling Green, KY
- NPI 1437332178
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450051200000",
"number": "1891027744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "136 ST. MATTHEWS AVE",
"address_2": "#300",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "40207",
"telephone_number": "502-897-1700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22950 NORTHLINE RD.",
"city": "TAYLOR",
"state": "MI",
"postal_code": "481806912",
"telephone_number": "734-287-1230",
"fax_number": "734-287-8332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALMON",
"first_name": "KELLY",
"middle_name": "MUIR",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-03",
"last_updated": "2015-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PA",
"license": "SL009765",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MI",
"license": "7101002672",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KELLY",
"last_name": "MUIR",
"middle_name": "ANNE",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Taylor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.