Active NPI
Amy Tang
- Speech-Language Pathologist
- Clarksburg, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2202011396
- Practice address
- 12614 Piedmont Trail Rd
Clarksburg, MD 20871-4303 - Phone
- (301) 525-2661
- Fax
- (855) 678-8887
- NPI assigned
- Jan 9, 2026
- Last updated
- Jan 9, 2026
- 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 | 2202011396 | VA | Primary |
Addresses
Primary practice location
12614 Piedmont Trail Rd
Clarksburg, MD 20871-4303
Mailing address
12614 Piedmont Trail Rd
Clarksburg, MD 20871-4303
Phone (301) 525-2661
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2807 N Parham Rd
Suite 320
Henrico, VA 23294-4458
Phone (855) 678-8887
4299 Chantilly Shopping Ctr Dr
Suite 104
Chantilly, VA 20151-4025
Phone (703) 844-0690
9207 Arlington Blvd
Fairfax, VA 22031-2501
Phone (855) 678-8887
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2202011396 | VA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Temple Foundation Inc | Current | Accepting new patients | |
| Prestige Rehab VA PLLC | Speech-Language Pathologist | Current | Accepting new patients |
Locations
4299 Chantilly Shopping Center Dr
Ste 104
Chantilly, VA 20151
Phone (703) 844-0690
3020 Hamaker Ct
Ste 100
Fairfax, VA 22031
Phone (703) 844-8599
2807 N Parham Rd
Ste 320
Richmond, VA 23294
Phone (571) 275-5935
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Henrico, VA
- NPI 1588497077
DC, Speech-Language Pathologist
-
dba The Virginian
- Physical Therapy Clinic/Center
- Fairfax, VA
- NPI 1336366079
DC
-
- Physical Medicine & Rehabilitation Physician
- Waldorf, MD
- NPI 1558714824
DC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1767916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767916800000",
"number": "1922965920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12614 PIEDMONT TRAIL RD",
"city": "CLARKSBURG",
"state": "MD",
"postal_code": "208714303",
"telephone_number": "301-525-2661",
"fax_number": "855-678-8887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12614 PIEDMONT TRAIL RD",
"city": "CLARKSBURG",
"state": "MD",
"postal_code": "208714303",
"telephone_number": "301-525-2661",
"fax_number": "855-678-8887"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANG",
"first_name": "AMY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-01-09",
"last_updated": "2026-01-09",
"certification_date": "2026-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "VA",
"license": "2202011396",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clarksburg, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.