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Alycia Canavan , MA, CCC-SLP

Speech-Language Pathologist β€’ Springfield, OR

Active NPI 1760864078 Individual Practitioner Female Practitioner
Practice location in NPPES

1126 Gateway Loop Ste 112
Springfield, OR 974777723

Call 5413712782 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

1126 Gateway Loop Ste 112

Springfield, OR 974777723

Telephone 5413712782
Fax 5418047695
Organization at the Same NPPES Address or Phone
Birdsong Speech Therapy Associates, Llc Facility NPI 1639553167

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

NPI first issued

2015

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 Springfield and Oregon

11 active clinicians are listed under Speech-Language Pathologist with a practice address in Springfield, OR (2,091 in Oregon).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Springfield

0% of these 11 clinicians have the CMS telehealth indicator.

0% of these 11 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

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES OR 15420

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.

Occupational Therapist

NUCC Taxonomy Code: 225X00000X

An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.

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: Oregon Medical Board.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
500689312 (OR)

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 October 02, 2018

Registered at 1126 GATEWAY LOOP STE 112, SPRINGFIELD, OR 974777723 (Tel: 5413712782)

πŸ“
Updated Business Mailing Address October 02, 2018

Registered at 1126 GATEWAY LOOP STE 112, SPRINGFIELD, OR 974777723 (Tel: 5413712782)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 02, 2018

Occupational Therapist

βœ…
NPI Profile Active June 23, 2015

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 23, 2015

Registered at 3575 DONALD ST, SUITE 610, EUGENE, OR 974054753 (Tel: 5413712782)

πŸ“
Business Mailing Address (Initial Record) June 23, 2015

Registered at 3575 DONALD ST, SUITE 610, EUGENE, OR 974054753 (Tel: 5413712782)

πŸ‘€
Provider Name / Credentials (Initial Record) June 23, 2015

Recorded as ALYCIA CANAVAN, M.A., CCC-SLP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 23, 2015

Speech-Language Pathologist (license number reported to NPPES: OR 15420)

🟒
Initial NPI Registration & Enumeration June 23, 2015

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1760864078
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 23, 2015
Last Update: October 02, 2018
Sole Proprietor: No

Mailing Address

1126 Gateway Loop Ste 112

Springfield, OR 974777723

Phone: 5413712782

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.