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Brooke Rae Thall , SPEECH THERAPIST

Speech-Language Pathologist β€’ Alamosa, CO

Active NPI 1164075644 Individual Practitioner Female Practitioner
Practice location in NPPES

2261 Enterprise Dr
Alamosa, CO 811013603

Call 7174227540 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2261 Enterprise Dr

Alamosa, CO 811013603

Telephone 7174227540
Organization at the Same NPPES Address or Phone
San Luis Valley Board Of Cooperative Educational Services Facility NPI 1891895108

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2019

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Alamosa and Colorado

13 active clinicians are listed under Speech-Language Pathologist with a practice address in Alamosa, CO (4,253 in Colorado).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Alamosa

0% of these 13 clinicians have the CMS telehealth indicator.

0% of these 13 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-12-03
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES CO SLP.0006172

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.

Speech-Language Pathologist

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES PA SL014610

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Colorado Division of Professions and Occupations.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
NPI 1245928605

Physical Therapist, Doctor of Physical Therapy

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location December 03, 2024

Registered at 2261 ENTERPRISE DR, ALAMOSA, CO 811013603 (Tel: 7174227540)

πŸ“
Updated Business Mailing Address December 03, 2024

Registered at 2261 ENTERPRISE DR, ALAMOSA, CO 811013603

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 03, 2024

Speech-Language Pathologist (license number reported to NPPES: CO SLP.0006172)

βœ…
NPI Profile Active July 23, 2019

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 23, 2019

Registered at 511 PAYNE HILL RD APT 140, JEFFERSON HILLS, PA 150254036 (Tel: 7174227540)

πŸ“
Business Mailing Address (Initial Record) July 23, 2019

Registered at 511 PAYNE HILL RD APT 140, JEFFERSON HILLS, PA 150254036

πŸ‘€
Provider Name / Credentials (Initial Record) July 23, 2019

Recorded as BROOKE THALL, SPEECH THERAPIST

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 23, 2019

Speech-Language Pathologist (license number reported to NPPES: PA SL014610)

🟒
Initial NPI Registration & Enumeration July 23, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1164075644
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 23, 2019
Last Update: December 03, 2024
Sole Proprietor: Yes

Mailing Address

2261 Enterprise Dr

Alamosa, CO 811013603

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.