Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1760627236 Individual Practitioner Female Practitioner

Ashley Anne Brack

Speech-Language Pathologist • Providence, RI

Professional Overview & Biography Verified Profile Summary

Ashley Brack is a registered healthcare professional specializing in Speech-Language Pathologist in Providence, RI. Practice services are available at 765 ALLENS AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

765 Allens Ave
Suite 110

Providence, RI 029055443

Telephone 4014443201
Fax 4014448507
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Providence, RI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.0 Yrs
State Avg: 16.5 Yrs
Regional Practice Density
166 Specialists

Practicing in Providence, RI (650 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

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License RI SP01040

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 License
SP01040 (RI)

Practice Associates & Co-Workers

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

32 Associated Practitioners
Jeannie Dorr , RD

Dietitian, Registered

NPI 1003836131

Registered Dietitian

Eileen Tainsh

Physical Therapist

NPI 1033135579
Leanne Berlinsky

Speech-Language Pathologist

NPI 1073792024
NPI 1154515419
Melissa Medeiros

Physical Therapist

NPI 1164442547
Yana Wember

Psychologist

NPI 1164449187

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active November 12, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location November 12, 2010

Registered at 765 ALLENS AVE, SUITE 110, PROVIDENCE, RI 029055443 (Tel: 4014443201)

📍
Updated Business Mailing Address November 12, 2010

Registered at 765 ALLENS AVE, SUITE 110, PROVIDENCE, RI 029055443 (Tel: 4014443201)

👤
Provider Name / Credentials Updated November 12, 2010

Recorded as ASHLEY BRACK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 12, 2010

Speech-Language Pathologist (License #SP01040 in RI)

🟢
Initial NPI Registration & Enumeration December 11, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1760627236
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 11, 2008
Last Update: November 12, 2010
Sole Proprietor: No

Mailing Address

765 Allens Ave, Suite 110

Providence, RI 029055443

Phone: 4014443201

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.