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Active NPI 1568651107 Individual Practitioner Female Practitioner

Lisa Michelle Cassidy Stultz , MS CCCSLP

Speech-Language Pathologist • Avon, IN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Lisa Cassidy Stultz, MS CCCSLP is a certified Speech-Language Pathologist practicing in Avon, IN. With approximately 22 years of clinical experience since completing medical education in 2004, Lisa Cassidy Stultz delivers high-quality medical care to the local community at 2141 N DAN JONES RD.

Lisa Cassidy Stultz is affiliated with Empowerme Rehabilitation Illinois Llc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

2141 N Dan Jones Rd

Avon, IN 461236023

Telephone 3179431837
Fax 3177803750
Associated Practice Facility / Clinic
🏢 Powerback Rehabilitation Llc Facility NPI 1174275283

Medicare Profile & Education

Medical School

Other

Graduation Year

2004

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Avon, IN

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
22 Yrs -1.7 yrs vs City Avg
City Avg: 23.7 Yrs
State Avg: 17.0 Yrs
Regional Practice Density
22 Specialists

Practicing in Avon, IN (3038 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

Clinical Seniority & Experience Comparison

Dr. Cassidy Stultz (22 Years) 22 Yrs
Avon Specialty Average (23.7 Years) 23.7 Yrs

Medical Specialties & State Licenses

CMS Verified: 2022-12-06
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License IN 22004181A

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.

Hospital & Practice Group Affiliations

Empowerme Rehabilitation Illinois Llc

329 Rainbow Dr, Kokomo, IN 469023869

Phone: 7654002939

Practice Associates & Co-Workers

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

40 Associated Practitioners
Molly Carrillo , MOT

Occupational Therapist

NPI 1003960923

Master of Occupational Therapy

Laura Kitterman , MS OTR

Occupational Therapist

NPI 1013118553

MSOTR

Katherine Boeldt , OTR

Occupational Therapist

NPI 1043362023

Occupational Therapist Registered

Sara Campbell , MA CCC-SLP

Speech-Language Pathologist

NPI 1043406465

MACCCSLP

Gregory Kaucher , PT

Physical Therapist

NPI 1063689032

Physical Therapist

Sam Franklin , RPT

Physical Therapist

NPI 1073522967

Registered Physical Therapist

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location December 06, 2022

Registered at 2141 N DAN JONES RD, AVON, IN 461236023 (Tel: 3179431837)

📍
Updated Business Mailing Address December 06, 2022

Registered at 18 ESTATE DR, MOORESVILLE, IN 461581216 (Tel: 3173746947)

NPI Profile Active October 19, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location October 19, 2007

Registered at 5214 SOUTH EAST STREET, BUILDING D SUITE 1 HTS OUTPATIENT THERAPY SERVICES, INDIANAPOLIS, IN 46227 (Tel: 8004864449)

📍
Updated Business Mailing Address October 19, 2007

Registered at 5214 SOUTH EAST STREET, BUILDING D SUITE 1, INDIANAPOLIS, IN 46227 (Tel: 8004864449)

👤
Provider Name / Credentials Updated October 19, 2007

Recorded as LISA CASSIDY STULTZ, MS CCCSLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 19, 2007

Speech-Language Pathologist (License #22004181A in IN)

🟢
Initial NPI Registration & Enumeration October 19, 2007

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: 1568651107
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 19, 2007
Last Update: December 06, 2022
Sole Proprietor: No

Mailing Address

18 Estate Dr

Mooresville, IN 461581216

Phone: 3173746947

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.