SAMANTHA WORRALL CCC-SLP
NPI 1235522400
Speech-Language Pathologist in Park City, UT

Active since March 12, 2015Accepts Medicare Assignment
900 ROUND VALLEY DR, PARK CITY, UT 84060(435) 658-7377(435) 658-7360 Get Directions Write a Review

NPPES record last updated: September 3, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 3, 2024, Apr 10, 2024, Aug 8, 2019 (3 updates tracked since 2019).

About Samantha Worrall Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMANTHA WORRALL CCC-SLP (NPI 1235522400) is an individual speech-language pathologist provider in Park City, Utah, licensed in Utah (10219381-4102) and active in the NPI registry since March 2015. She maintains a secondary practice location in St George and is a graduate of Other (2011).

NPPES Registry Identity

NPI1235522400
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameSAMANTHA WORRALLCredential: CCC-SLP
Location Address900 ROUND VALLEY DRPark City, UT 84060-7552
Mailing AddressPo Box 25537Salt Lake City, UT 84125-0537
Fax(435) 658-7360
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateMarch 12, 2015
Last NPPES UpdateSeptember 3, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2024
NPI 1235522400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
Licenses Licensed in UT · 10219381-4102 Licensed in MD · 07028
Definition

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.

900 ROUND VALLEY DR, Park City, UT 84060

Secondary Practice Location 1

Location 11380 E Medical Center DrSt George, UT 84790 · Phone (435) 251-2573

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Samantha Worrall Ccc-slp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6305387838
PECOS Enrollment IDI20240924001430

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
900 ROUND VALLEY DR
PARK CITY, UT 84060
Massage Therapist
900 ROUND VALLEY DR
PARK CITY, UT 84060
Internal Medicine
900 ROUND VALLEY DR
PARK CITY, UT 84060
Nurse Practitioner (Family)
900 ROUND VALLEY DR, 250
PARK CITY, UT 84060
Pediatrics (Neonatal-Perinatal Medicine)
900 ROUND VALLEY DR
PARK CITY, UT 84060
Dietitian, Registered
900 ROUND VALLEY DR
PARK CITY, UT 84060
Physical Medicine & Rehabilitation
900 ROUND VALLEY DR
PARK CITY, UT 84060
Obstetrics & Gynecology (Maternal & Fetal Medicine)
900 ROUND VALLEY DR
PARK CITY, UT 84060

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samantha Worrall's NPI number?

The NPI number for Samantha Worrall is 1235522400. It was assigned to this individual provider in the NPPES registry on March 12, 2015.

Where is Samantha Worrall located?

Samantha Worrall practices at 900 Round Valley Dr, Park City, UT 84060. The listed phone number is (435) 658-7377.

What is Samantha Worrall's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Samantha Worrall enrolled in Medicare?

Yes. Samantha Worrall is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Samantha Worrall was last updated on September 3, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.