ANGELA SUDHOLT TAYLOR
NPI 1457616625
Speech-Language Pathologist in Trenton, IL
About Angela Sudholt Taylor NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANGELA SUDHOLT TAYLOR (NPI 1457616625) is an individual speech-language pathologist provider in Trenton, Illinois, licensed in Illinois (146009797) and active in the NPI registry since July 2012.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Angela Sudholt Taylor is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Angela Sudholt reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
O Fallon, IL 62269
- Reassigned Medicare billing, Illinois enrollment
- 47 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
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 Angela Sudholt's NPI number?
The NPI number for Angela Sudholt is 1457616625. It was assigned to this individual provider in the NPPES registry on July 12, 2012.
Where is Angela Sudholt located?
Angela Sudholt practices at 3393 Venhaus Rd, Trenton, IL 62293. The listed phone number is (618) 741-7226.
What is Angela Sudholt's specialty?
The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.
Is Angela Sudholt enrolled in Medicare?
Yes. Angela Sudholt is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Angela Sudholt's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Angela Sudholt reassigns Medicare benefits to Powerback Rehabilitation LLC (O Fallon, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Angela Sudholt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Angela Sudholt was last updated on July 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Angela Sudholt, TAYLOR · NPI 1457616625
Speech-Language Pathologist provider in Trenton, Illinois. Individual provider, active in the CMS NPPES registry since July 12, 2012.
## Identity
- **NPI:** 1457616625 (Entity type: Individual)
- **Enumerated:** July 12, 2012
- **Primary specialty:** Speech-Language Pathologist · taxonomy 235Z00000X
- **State license:** 146009797 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 3393 VENHAUS RD, Trenton, IL 62293-3220
- **Phone:** (618) 741-7226
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Powerback Rehabilitation LLC (NPI 1982018362, O Fallon, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 12, 2012
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Source: [NPI Profile](https://npiprofile.com/npi/1457616625) · Data from the CMS NPPES public registry.