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Speech-Language Pathologist
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NPI 1629121272
● Active Type 2 · Organization
Tri State Rehabilitation Inc
Speech-Language Pathologist · Valdosta, GA · NPI 1629121272
·
Enumerated 2007 · 19 years on NPI
Tri State Rehabilitation Inc is 1 of 5327 speech-language pathologist organizations in Georgia.
NPI age
19 years
Enumerated 2007-01-18
Primary specialty
Speech-Language Pathologist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Reagan
Speech And Language Pathologist
Last NPPES update
2007-07-16
Source: monthly bulk 2026-05
How this organization compares
Across 5327 active speech-language pathologist providers in Georgia.
NPI age
19 years
↑ 9 yr above median
Practice locations
1
0 secondary on file
NPI lifetime · 2007 → 2026
2007-01 Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
202 W Park Ave
Valdosta, GA 316022507
📞 2292538500 fax 2292538522
Mailing address
202 W Park Ave
Valdosta, GA 316022507
📞 2292538500 fax 2292538522
Authorized official
Kathryn Reagan, CCC-SLP
Speech And Language Pathologist
📞 2292538500
Individual providers at this organization
12 individual providers on file at this primary practice address.
Jennifer Allen , OTR/L
Occupational Therapist
NPI 1518244847
Teresa Bayless , CCC-SLP
Speech-Language Pathologist
NPI 1700930443
Anna Deloach , PT
Physical Therapist
NPI 1013061001
Randrea Donaldson , OTA
Occupational Therapy Assistant
NPI 1649664012
Angela Gibbs , M.ED.CCC-SLP
Speech-Language Pathologist
NPI 1609281286
Felicia Hill , OT
Occupational Therapist
NPI 1437599107
Allison Nowak , OTR/L
Occupational Therapist
NPI 1356624845
Joshua Powell
Occupational Therapy Assistant
NPI 1871987222
Jan Rhodes , PT
Physical Therapist
NPI 1407900145
Chris Sandoval , OTR/L
Occupational Therapist
NPI 1316026073
Emily Sandoval , OTR/L
Occupational Therapist
NPI 1003995762
Desiree Tippins , OTA
Occupational Therapy Assistant
NPI 1396010955
Specialties
Speech-Language Pathologist
Primary
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...
GA license #005367 taxonomy 235Z00000X
Identifiers
Type Value Notes
01 (GA)
52171814
BLUE CROSS BLUE SHIELD
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
Practice context
Multi-provider organization.
12 individual providers on file at this primary address.
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How to verify this organization
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Updated 2026-05-14
· Source: CMS NPPES bulk export. Praxis MD refreshes the directory monthly with weekly delta updates.
Independent public resource. Not affiliated with CMS, HHS, or NPPES. Not endorsed by the U.S. government.
NPI listing is not proof of active licensure or payer enrollment.