Taylor D. Altom, ST
NPI 1861247207ActiveIndividual· Speech-Language Pathologist· Marlow, OK
Speech-Language Pathologist (ST) with Blue Rock Health and Wellness LLC, practicing in Marlow, Oklahoma. Enrolled in Medicare as practitioner - qualified speech language pathologist.
Overview
| NPI | 1861247207 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | ST |
| Sole proprietor | Yes |
| NPI issued | Apr 19, 2024 |
| Last updated in NPPES | Apr 19, 2024 |
| Certified by provider | Apr 19, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | 23124 | OK |
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 (OK) |
|---|
Education and affiliations
| Graduation year | 2007 |
|---|---|
| Medicare specialty | Qualified Speech Language Pathologist |
Medical group
- Blue Rock Health and Wellness LLCMarlow, OK · 7 clinicians
Other Speech-Language Pathologist providers in Marlow
- 1689521056