Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1386376820 Individual Practitioner Female Practitioner

Carly Ann Cheatham

Speech-Language Pathologist • Peoria Heights, IL

Professional Overview & Biography Verified Profile Summary

Carly Cheatham is a registered healthcare professional specializing in Speech-Language Pathologist in Peoria Heights, IL. Practice services are available at 4450 N PROSPECT RD STE C5 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4450 N Prospect Rd Ste C5

Peoria Heights, IL 616166578

Telephone 3093637594
Fax 3099663621

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Peoria Heights, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.2 Yrs
Regional Practice Density
8 Specialists

Practicing in Peoria Heights, IL (10321 Statewide)

Telehealth Adoption Rate
0.0% 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: 2022-06-24
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License IL C350-1019-7862

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID State License
C350-1019-7862 (IL)

Practice Associates & Co-Workers

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

18 Associated Practitioners
Mollie Murdock , COTA, L

Occupational Therapy Assistant

NPI 1003787359

Certified Occupational Therapy Assistant, L

Morgan Brisbin

Physical Therapy Assistant

NPI 1093508608
Savannah Andrews

Speech-Language Pathologist

NPI 1154992097
Amber Oliveri

Occupational Therapist

NPI 1174229041
Olivia Brinkman , MA CCC-SLP

Speech-Language Pathologist

NPI 1174353635

MACCCSLP

Colleen Kennedy

Occupational Therapist

NPI 1194697292

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active June 24, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location June 24, 2022

Registered at 4450 N PROSPECT RD STE C5, PEORIA HEIGHTS, IL 616166578 (Tel: 3093637594)

📍
Updated Business Mailing Address June 24, 2022

Registered at 1500 S MISSOURI AVE UNIT 3, MORTON, IL 615509028 (Tel: 2177060491)

👤
Provider Name / Credentials Updated June 24, 2022

Recorded as CARLY CHEATHAM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 24, 2022

Speech-Language Pathologist (License #C350-1019-7862 in IL)

🟢
Initial NPI Registration & Enumeration June 24, 2022

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: 1386376820
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 24, 2022
Last Update: June 24, 2022
Sole Proprietor: No

Mailing Address

1500 S Missouri Ave Unit 3

Morton, IL 615509028

Phone: 2177060491

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.