Individual provider Active NPI

Danielle Justine Sibigtroth, MS, CCC-SLP

  • Speech-Language Pathologist
  • Glendale, AZ
National Provider Identifier
1922521673
Registry record updated Apr 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP10772 Issued in AZ
Practice address
20329 N 59TH Ave Ste A2
Glendale, AZ 85308-6854
Phone
(480) 787-5387
NPI assigned
Jul 24, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2024

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 SLP10772 AZ Primary

Addresses

Primary practice location

20329 N 59TH Ave Ste A2
Glendale, AZ 85308-6854

Mailing address

3756 E Donald Dr
Phoenix, AZ 85050-7371
Phone (480) 353-0096

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SLP10772AZMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Tree Group PLLC CurrentSince Apr 21, 2024 Accepting new patients
Therapy Tree, PLLC Speech-Language Pathologist PastSince Apr 21, 2024 Accepting new patients

Locations

20329 N 59th Ave
Ste A2
Glendale, AZ 85308
Phone (623) 500-2401

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1500854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713139200000",
    "number": "1922521673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3756 E DONALD DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850507371",
            "telephone_number": "480-353-0096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20329 N 59TH AVE STE A2",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853086854",
            "telephone_number": "480-787-5387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIBIGTROTH",
        "first_name": "DANIELLE",
        "middle_name": "JUSTINE",
        "name_prefix": "Mrs.",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-24",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP10772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; 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.