Jill Gwaltney Blankenberg, MS, CCC-SLP
NPI 1083884415ActiveIndividual· Speech-Language Pathologist· Concord, NC
Speech-Language Pathologist (MS, CCC-SLP) with Paragon Outpatient Rehabilitation Services LLC, practicing in Concord, North Carolina. Enrolled in Medicare as practitioner - qualified speech language pathologist.
Overview
| NPI | 1083884415 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MS, CCC-SLP |
| Sole proprietor | No |
| NPI issued | Feb 29, 2008 |
| Last updated in NPPES | Feb 29, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | 5410 | NC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Qualified Speech Language Pathologist (NC) |
|---|
Education and affiliations
| Graduation year | 2000 |
|---|---|
| Medicare specialty | Qualified Speech Language Pathologist |
Medical group
- Paragon Outpatient Rehabilitation Services LLCAlbemarle, NC · 195 clinicians
Other Speech-Language Pathologist providers in Concord
- 1760522890
- 1265866263
- 1225322472
- 1023467388
- 1952969339
- 1346647799
- 1609472539
- 1356930515
- 1114659679
- 1548355258
- 1265019699
- 1720423999
All Speech-Language Pathologist providers in North Carolina →