MELANIE DALE PREDDY (NPI# 1942492962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942492962 |
| Entity Type | Individual |
| Full Name | MELANIE DALE PREDDY |
| Credential | CCC-SLP |
| Practice Address |
3616 N Main St Rockford IL 61103-2159 |
| Practice Telephone | 8158775932 |
| Practice Fax Number | 8158776302 |
| Mailing Telephone | 8158775932 |
| Mailing Fax Number | 8158776302 |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2007-08-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | KY3037 | KY | Speech, Language and Hearing Service Providers |
| Street Address |
3616 N MAIN ST |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61103-2159 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144298381 | Jennifer L Wuori | Physical Therapist | 3616 N Main St, Rockford, IL 61103-2159 | 2006-03-14 |
| 1639624455 | Kelly Demus | Physical Therapist | 3616 N Main St, Rockford, IL 61103-2159 | 2016-08-22 |
| 1154779627 | Paul M Jonff | Physical Therapist | 3616 N Main St, Rockford, IL 61103-2159 | 2016-05-25 |
| 1922455393 | Jacob Mueller | Physical Therapist | 3616 N Main St, Rockford, IL 61103-2159 | 2016-05-16 |
| 1831567049 | Daiane Trevisan Latosinski | Physical Therapist | 3616 N Main St, Rockford, IL 61103-2159 | 2015-09-03 |
| 1467846501 | Accelerated Rehabilitation Centers, Ltd | Physical Therapist | 3616 N Main St, Rockford, IL 61103-2159 | 2015-03-26 |
| 1053747899 | Rachel M Zimmerman | Physical Therapist | 3616 N Main St, Rockford, IL 61103-2159 | 2013-09-25 |
| 1932429297 | Erin Wilson | Physical Therapist | 3616 N Main St, Rockford, IL 61103-2159 | 2010-06-09 |
| 1639300122 | Byron Cann | Physical Therapist | 3616 N Main St, Rockford, IL 61103-2159 | 2009-07-31 |
| 1255570206 | Samantha J Owen | Physical Therapy Assistant | 3616 N Main St, Rockford, IL 61103-2159 | 2009-02-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598398497 | The Elitist Group | Home Health Aide | 2929 N Main Street, Rockford, IL 61103 | 2020-02-19 |
| 1972064194 | Mahita Bellamkonda | Student in an Organized Health Care Education/Training Program | 2400 North Rockton Avenue, Rockford, IL 61103 | 2019-03-29 |
| 1558538967 | Willows Health Center | Clinic/Center | 4143 Albright Lane, Rockford, IL 61103 | 2008-05-14 |
| 1497845135 | Humaira Bari | Internal Medicine | 2400 N. Rockton Avenue, Rockford, IL 61103 | 2006-10-13 |
| 1841385242 | Rachel Pawlowski | Occupational Therapist | 3616 N. Main Street, Rockford, IL 61103 | 2006-10-03 |
| 1417068438 | Alicia Anne Huntley | Midwife | 2400 Rockton Ave, Rockford, IL 61103 | 2006-08-31 |
| 1639190200 | Glendon Burress | Pediatrics | 2300 N. Rockton Ave., Rockford Health Physicians, Rockford, IL 61103 | 2006-07-21 |
| 1225065204 | Daniel William Johnson | Dentist | 519 Toner Av, Rockford, IL 61103 | 2006-06-27 |
| 1760472898 | Ronald Peter Oberfoell | Anesthesiology | 2400 North Rockton Ave, Rockford Health Physicians, Rockford, IL 61103 | 2005-10-28 |
| 1841752532 | Dipti Sabharwal | Student in an Organized Health Care Education/Training Program | 2400 N Rockton Avenue, Rockford, IL 61103 | 2019-04-02 |
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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 |
|---|---|---|---|---|
| 1063021715 | Mitten State Pediatric Therapy LLC | Speech-Language Pathologist | 6659 Craftsman Square Dr Ne, Rockford, MI 49341-8861 | 2020-07-29 |
| 1467079988 | Michelle Prach | Speech-Language Pathologist | 657 Self Hollow Rd, Rockford, TN 37853 | 2020-06-30 |
| 1093371221 | Teresa Jeannette Doherty | Speech-Language Pathologist | 420 Sunrise Ln, Rockford, IL 61107-4948 | 2019-05-13 |
| 1124536412 | Karen Lynn Locarno | Speech-Language Pathologist | 5620 Spring Creek Rd, Rockford, IL 61114-6442 | 2018-01-20 |
| 1346757374 | Cynthia Otoole - Granberry | Speech-Language Pathologist | 3615 W Gate Pkwy, Rockford, IL 61108-6162 | 2017-12-28 |
| 1245746627 | Jodi L Palmer | Speech-Language Pathologist | 2423 Burrmont Rd, Rockford, IL 61107-1839 | 2017-12-20 |
| 1871008920 | Sharon Marie Garlick | Speech-Language Pathologist | 3805 Rural St, Rockford, IL 61107-3555 | 2017-12-12 |
| 1154836799 | Kate Alison Dineen | Speech-Language Pathologist | 212 N London Ave, Rockford, IL 61107-4425 | 2017-12-05 |
| 1003320920 | Inna Natanova | Speech-Language Pathologist | 5222 Spring Creek Rd, Rockford, IL 61114-6330 | 2017-11-30 |
| 1265946313 | Jane Marie Sudderberg | Speech-Language Pathologist | 1751 Clinton St, Rockford, IL 61103-4804 | 2017-11-28 |
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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.