Madison Wallace
NPI 1972953172ActiveIndividual· Speech-Language Pathologist· Powell, OH
Speech-Language Pathologist in Powell, Ohio, licensed in OH, with an NPI issued in June 2016. Enrolled in Medicare as practitioner - qualified speech language pathologist.
Overview
| NPI | 1972953172 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Jun 18, 2016 |
| Last updated in NPPES | Aug 1, 2025 |
| Certified by provider | Aug 1, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | SP.16583 | OH |
| Community Health Worker | 172V00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Qualified Speech Language Pathologist (OH) |
|---|
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All 36 speech-language pathologists in Powell · All speech-language pathologists in Ohio