Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1922869296 Individual Practitioner Female Practitioner

Mary Backes

Speech-Language Pathologist • Broomfield, CO

Professional Overview & Biography Verified Profile Summary

Mary Backes is a registered healthcare professional specializing in Speech-Language Pathologist in Broomfield, CO. Practice services are available at 403 SUMMIT BLVD STE 204B under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

403 Summit Blvd Ste 204b

Broomfield, CO 800218252

Telephone 7204012139
Associated Practice Facility / Clinic
🏢 J Michael King Md Pc Facility NPI 1104113430

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Broomfield, CO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.3 Yrs
State Avg: 10.8 Yrs
Regional Practice Density
76 Specialists

Practicing in Broomfield, CO (4289 Statewide)

Telehealth Adoption Rate
1.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-01-19
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License CO 0001251

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

16 Associated Practitioners
NPI 1083685515

Doctor of Medicine (M.D.)

Holly Kosanovich , MS, CCC-SLP

Speech-Language Pathologist

NPI 1144737719

Master of Science, Speech-Language Pathologist (Certificate of Clinical Competence)

Katherine Reed , SLP

Speech-Language Pathologist

NPI 1205478104

Speech-Language Pathologist

NPI 1215552906

Doctor of Audiology

Sarah Gordon , PA-C

Physician Assistant

NPI 1265088926

Physician Assistant (Certified)

Rebecca Niemeyer , PA-C

Physician Assistant - Medical

NPI 1275016503

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 23, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location January 23, 2024

Registered at 403 SUMMIT BLVD STE 204B, BROOMFIELD, CO 800218252 (Tel: 7204012139)

📍
Updated Business Mailing Address January 23, 2024

Registered at 7100 NEW HOPE RD, GRANTS PASS, OR 975277921

👤
Provider Name / Credentials Updated January 23, 2024

Recorded as MARY BACKES

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 23, 2024

Speech-Language Pathologist (License #0001251 in CO)

🟢
Initial NPI Registration & Enumeration January 23, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1922869296
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 23, 2024
Last Update: January 23, 2024
Sole Proprietor: No

Mailing Address

7100 New Hope Rd

Grants Pass, OR 975277921

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.