Andalusia Therapy Group, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

ANDALUSIA THERAPY GROUP, LLC

Practice address

224 S Three Notch St
Andalusia, AL 36420-3710

Phone

(606) 344-7997

NPI assigned

May 6, 2024

Last updated

Jul 7, 2024By 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

Kirby Soles SewellNPI 1023854445

Title

Owner

Phone

(606) 344-7997

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Practitioners 2

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.

• Sera Pelham Carnley, MS.,CCC-SLP

  • Speech-Language Pathologist
  • Andalusia, AL
  • NPI 1861231714
  Medicare reassignment NPD
• Kirby S Sewell, RN

  • Registered Nurse
  • Andalusia, AL
  • NPI 1023854445
  NPD Authorized official

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

{
    "created_epoch": "1714953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720310400000",
    "number": "1891542833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 S THREE NOTCH ST",
            "city": "ANDALUSIA",
            "state": "AL",
            "postal_code": "364203710",
            "telephone_number": "606-344-7997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 S THREE NOTCH ST",
            "city": "ANDALUSIA",
            "state": "AL",
            "postal_code": "364203710",
            "telephone_number": "606-344-7997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDALUSIA THERAPY GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-06",
        "last_updated": "2024-07-07",
        "certification_date": "2024-07-07",
        "status": "A",
        "authorized_official_last_name": "SEWELL",
        "authorized_official_first_name": "KIRBY",
        "authorized_official_middle_name": "SOLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-344-7997"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andalusia Physician Practices LLC (Andalusia Neurology)
• Andalusia Physician Practices LLC (Orthopedics and Sports Specialists)
• Andalusia Physician Practices LLC (Andalusia Family Healthcare)
• Andalusia Professional Services LLC
• Andalusia Rescue Squad, Inc.
• Landon B Anderson, MD
• Joann Armstong, NBCHIS/HEARING SPEC.
• Austin Jeffery Bailey, RPH
• Horace J Bailey, RPH
• Randi Nicole Bailey, LICSW

• Speech-Language Pathologist in Andalusia, AL
• Providers in Andalusia, AL by specialty
• Speech-Language Pathologist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2024; 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.