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Active NPI 1396389813 Individual Practitioner Female Practitioner

Amy Sullivan

Speech-Language Pathologist • Manchester, TN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Amy Sullivan is a certified Speech-Language Pathologist practicing in Manchester, TN. With approximately 25 years of clinical experience since completing medical education in 2001, Amy Sullivan delivers high-quality medical care to the local community at 811 KEYLON ST.

Amy Sullivan is affiliated with Broad River Rehabilitation and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

811 Keylon St

Manchester, TN 373552413

Telephone 9314505150
Associated Practice Facility / Clinic
🏢 Legacy Health And Rehab Llc Facility NPI 1265078521

Medicare Profile & Education

Medical School

Other

Graduation Year

2001

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Manchester, TN

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
25 Yrs +6.0 yrs vs City Avg
City Avg: 19.0 Yrs
State Avg: 13.2 Yrs
Regional Practice Density
5 Specialists

Practicing in Manchester, TN (3778 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. Sullivan (25 Years) 25 Yrs
Manchester Specialty Average (19.0 Years) 19.0 Yrs

Medical Specialties & State Licenses

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License TN 2660

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

Medicaid State Provider ID
2660 (TN)

Hospital & Practice Group Affiliations

Broad River Rehabilitation

119 Bryan Ave, Manchester, TN 373552585

Phone: 9313452655

Practice Associates & Co-Workers

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

3 Associated Practitioners
Megan Owens , MS, CCC-SLP

Speech-Language Pathologist

NPI 1124572086

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

Crystal Soni

Physical Therapy Assistant

NPI 1427559285
Mary Alliot-Stewart , PTA

Physical Therapy Assistant

NPI 1952960692

Physical Therapist Assistant

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active October 29, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location October 29, 2019

Registered at 811 KEYLON ST, MANCHESTER, TN 373552413 (Tel: 9314505150)

📍
Updated Business Mailing Address October 29, 2019

Registered at 811 KEYLON ST, MANCHESTER, TN 373552413

👤
Provider Name / Credentials Updated October 29, 2019

Recorded as AMY SULLIVAN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 29, 2019

Speech-Language Pathologist (License #2660 in TN)

🟢
Initial NPI Registration & Enumeration October 29, 2019

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: 1396389813
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 29, 2019
Last Update: October 29, 2019
Sole Proprietor: No

Mailing Address

811 Keylon St

Manchester, TN 373552413

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.