Active NPI
Ally Rodgers
- Speech-Language Pathologist
- Alliance, OH
National Provider Identifier
1891190872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP.11142
- Practice address
- 10320 Moulin Ave NE
Alliance, OH 44601-5906 - Phone
- (330) 823-7453
- NPI assigned
- Nov 3, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP.11142 | OH | Primary |
Addresses
Primary practice location
10320 Moulin Ave NE
Alliance, OH 44601-5906
Mailing address
2849 Center Ave
Alliance, OH 44601-5411
Phone (330) 428-3916
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 |
|---|---|---|---|
| SP.11142 | OH | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583193600000",
"number": "1891190872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2849 CENTER AVE",
"city": "ALLIANCE",
"state": "OH",
"postal_code": "446015411",
"telephone_number": "330-428-3916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10320 MOULIN AVE NE",
"city": "ALLIANCE",
"state": "OH",
"postal_code": "446015906",
"telephone_number": "330-823-7453"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODGERS",
"first_name": "ALLY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-11-03",
"last_updated": "2020-03-03",
"certification_date": "2020-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OH",
"license": "SP.11142",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alliance, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.