PATRICIA BACKUS (NPI# 1508409376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1508409376 |
Entity Type | Individual |
Full Name | PATRICIA BACKUS |
Credential | SLP-CCC |
Practice Address |
1190 E Missouri Ave Ste 100 Phoenix AZ 85014-2719 |
Practice Telephone | 6023930520 |
Mailing Telephone | 6023930520 |
Enumeration Date | 2019-10-23 |
Last Update Date | 2019-10-23 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 235Z00000X | Speech-Language Pathologist | SLP4497 | AZ | Speech, Language and Hearing Service Providers |
Street Address |
1190 E MISSOURI AVE STE 100 |
City | PHOENIX |
State | AZ |
Zip Code | 85014-2719 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427346345 | Nicole Harley | Occupational Therapist | 1190 E Missouri Ave Ste 100, Phoenix, AZ 85014-2719 | 2011-07-12 |
1699308270 | Jodi Eileen Edwards | Occupational Therapist | 1190 E Missouri Ave Ste 100, Phoenix, AZ 85014-2719 | 2020-02-21 |
1841821337 | Sarh F Mcdonnell | Physical Medicine & Rehabilitation | 1190 E Missouri Ave Ste 100, Phoenix, AZ 85014-2719 | 2020-02-03 |
1235778101 | Jason M Callaman | Physical Therapist | 1190 E Missouri Ave Ste 100, Phoenix, AZ 85014-2719 | 2019-12-24 |
1174166045 | Amanda Wolf | Physical Therapist | 1190 E Missouri Ave Ste 100, Phoenix, AZ 85014-2719 | 2019-10-23 |
1033752902 | Morgan Marie Loss | Physical Medicine & Rehabilitation | 1190 E Missouri Ave Ste 100, Phoenix, AZ 85014-2719 | 2019-10-23 |
1679138762 | Samantha Eagle | Occupational Therapist | 1190 E Missouri Ave Ste 100, Phoenix, AZ 85014-2719 | 2019-05-05 |
1376001487 | Jasmin Merida | Occupational Therapist | 1190 E Missouri Ave Ste 100, Phoenix, AZ 85014-2719 | 2019-03-07 |
1710445317 | Erin Maniaci | Physical Therapist | 1190 E Missouri Ave Ste 100, Phoenix, AZ 85014-2719 | 2019-03-04 |
1447744461 | Rww Outpatient Rehab Services, LLC | Clinic/Center | 1190 E Missouri Ave Ste 100, Phoenix, AZ 85014 | 2018-06-22 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831796549 | Sherri Ann Rhodes | Registered Nurse | 5727 North 7th Street, Suite 308, Phoenix, AZ 85014 | 2020-10-06 |
1235746249 | Kaitlyn Landess | Occupational Therapist | 1190 W. Missouri Ave, Suite 100, Phoenix, AZ 85014 | 2020-09-24 |
1467088062 | Generational Bridges Neuropsychological Services Pllc | Clinical Neuropsychologist | 1515 E Missouri Dr, Phoenix, AZ 85014 | 2020-03-16 |
1861022881 | Daza Astrid Hernandez | Speech-Language Pathologist | 5314 N 7th Street, Phoeniz, AZ 85014 | 2020-01-17 |
1396213542 | Arizona Youth & Family Services Inc. | Community/Behavioral Health | 3707 N. 7th Street, Ste. 200, Phoenix, AZ 85014 | 2018-11-06 |
1366815508 | Dehp LLC | Case Management | 3707 N. 7th St., Ste # 310, Phoenix, AZ 85014 | 2015-11-10 |
1659751972 | Carla Parola | Counselor | 1300 E Missouri Ave Ste A-120, Phoenix, AZ 85014 | 2015-06-02 |
1659763597 | Dale Carroll Davis | Dentist | 3132 N. 7th St, Phoenix, AZ 85014 | 2015-03-02 |
1407247091 | Cynthia Ruzich | Psychologist | 1450 E. Indian School Rd. #101, Phoenix, AZ 85014 | 2015-02-18 |
1144618315 | Emily M Bentz | Specialist/Technologist | 3514 N. 7th St, Phoenix, AZ 85014 | 2014-12-22 |
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Taxonomy Code | 235Z00000X |
Grouping | Speech, Language and Hearing Service Providers |
Classification | Speech-Language Pathologist |
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235748369 | Nicole Fountain | Speech-Language Pathologist | 25700 N. 21st Avenue, Phoenix, AZ 85085 | 2020-07-24 |
1972137750 | Inspired Therapy LLC | Speech-Language Pathologist | 17606 N 17th Pl Unit 1079, Phoenix, AZ 85022-2184 | 2020-03-02 |
1083262331 | Josey Simon | Speech-Language Pathologist | 1333 N 24th St Apt 243, Phoenix, AZ 85008-4676 | 2019-08-29 |
1932768892 | Brianna Buckner | Speech-Language Pathologist | 6901 W Sheila Ln, Phoenix, AZ 85033-4452 | 2019-06-13 |
1689172942 | Ashley Elizabeth Kinkel | Speech-Language Pathologist | 3126 E Mulberry Dr, Phoenix, AZ 85016-7548 | 2018-01-31 |
1659882702 | Pamela Mae Pyle | Speech-Language Pathologist | 13440 N 44th St Apt 1150, Phoenix, AZ 85032-6393 | 2017-10-17 |
1477062495 | Kellie Kathleen Voss | Speech-Language Pathologist | 4505 E Palm Ln, Phoenix, AZ 85008-4123 | 2017-09-21 |
1679090823 | Margaret Easton | Speech-Language Pathologist | 7022 N 2nd St, Phoenix, AZ 85020-4809 | 2017-08-28 |
1457876013 | Paris Hasl | Speech-Language Pathologist | 4545 N 36th St Ste 125a, Phoenix, AZ 85018-3456 | 2017-08-04 |
1609390236 | Justin Segura | Speech-Language Pathologist | 9820 N Central Ave Unit 110, Phoenix, AZ 85020-1054 | 2017-07-26 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.