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Active NPI 1780975847 Individual Practitioner Female Practitioner

Kelly Sullivan , MS, CCC, SLP

Speech-Language Pathologist • Ft Worth, TX

Professional Overview & Biography Verified Profile Summary

Kelly Sullivan, MS, CCC, SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Ft Worth, TX. Practice services are available at 1400 8TH AVE under active NPI credentials.

Frequently performed procedures and clinical services include therapy procedure for a range of mental processes, treatment of speech, language, voice, communication, and/or hearing processing disorder, therapy procedure for a range of mental processes, initial. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1400 8th Ave
Carter Rehabilitation & Fitness Center

Ft Worth, TX 761044110

Telephone 8179222502
Fax 8179227733
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Ft Worth, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.0 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
22 Specialists

Practicing in Ft Worth, TX (17210 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
21.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
97130 Therapy procedure for a range of mental processes, each additional 15 minutes
415 16 $29.23 $22.45
92507 Treatment of speech, language, voice, communication, and/or hearing processing disorder
175 13 $109.21 $76.69
97129 Therapy procedure for a range of mental processes, initial 15 minutes
153 16 $30.64 $23.31
92523 Evaluation of speech sound production with evaluation of language comprehension and expression
14 12 $286.70 $234.43

Medical Specialties & State Licenses

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License TX 101055

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

7 Associated Practitioners
Carmalita Green , RDN, LD

Dietitian, Registered

NPI 1134900327

Registered Dietitian Nutritionist, Licensed Dietitian

Jessicah Davis , NNP

Nurse Practitioner - Neonatal

NPI 1225342363
NPI 1790076750

PHYSICALTHERAPIST

Dr. Benjamin Garcia , MD

Student in an Organized Health Care Education/Training Program

NPI 1821784109

Doctor of Medicine (M.D.)

Julie Cleveland , CST

Specialist/Technologist, Other - Surgical Technologist

NPI 1841317161
Simran Demla

Internal Medicine

NPI 1891465464

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active April 25, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location April 25, 2011

Registered at 1400 8TH AVE, CARTER REHABILITATION & FITNESS CENTER, FT WORTH, TX 761044110 (Tel: 8179222502)

📍
Updated Business Mailing Address April 25, 2011

Registered at 1400 8TH AVE, CARTER REHABILITATION & FITNESS CENTER, FT WORTH, TX 761044110 (Tel: 8179222502)

👤
Provider Name / Credentials Updated April 25, 2011

Recorded as KELLY SULLIVAN, MS, CCC/SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 25, 2011

Speech-Language Pathologist (License #101055 in TX)

🟢
Initial NPI Registration & Enumeration April 25, 2011

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: 1780975847
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 25, 2011
Last Update: April 25, 2011
Sole Proprietor: No

Mailing Address

1400 8th Ave, Carter Rehabilitation & Fitness Center

Ft Worth, TX 761044110

Phone: 8179222502

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.