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PROVAIL THERAPEUTIC AND ASSISTIVE TECHNOLOGY CLINIC
NPI 1477760197
Speech-Language Pathologist in Seattle, WA

Active since May 16, 2007CLIA 50D2253482 · Waiver
12550 AURORA AVE N, SEATTLE, WA 98133(206) 363-7303(206) 826-0181 Get Directions Write a Review

NPPES record last updated: June 21, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Provail Therapeutic And Assistive Technology Clinic NPPES

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

PROVAIL THERAPEUTIC AND ASSISTIVE TECHNOLOGY CLINIC (NPI 1477760197) is a healthcare organization registered as a speech-language pathologist in Seattle, Washington and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Michael Hatzenbeler, Ceo, as its authorized official.

NPPES Registry Identity

NPI1477760197
Entity TypeOrganization
Primary Taxonomy235Z00000X
Legal Business NamePROVAIL
Location Address12550 AURORA AVE NSeattle, WA 98133-8036
Mailing Address12550 Aurora Ave NSeattle, WA 98133-8036 · (206) 363-7303 · Fax (206) 826-0181
Phone(206) 363-7303
Fax(206) 826-0181
Organization SubpartNo
Authorized OfficialMichael HatzenbelerCeo · (206) 363-7303
Enumeration DateMay 16, 2007
Last NPPES UpdateJune 21, 2018
✔ NPI 1477760197 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
License✔ Licensed in WA · SI00004391
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.
12550 AURORA AVE N, Seattle, WA 98133
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Other Names 1

Doing Business AsProvail Therapeutic And Assistive Technology Clinic

Other Identifiers 13

Other=========-98103-A006WA · Regence Tricare Ot
Other=========-3670HUWA · Regence Ot
Other=========-0261VAWA · Regence Ot
Other=========-8519COWA · Regence Speech Therapy
Other=========-3671WYWA · Regence Speech Therapy
Medicaid7070949-8347395WA
Other7368087WA · Aetna Clinic Number
Medicaid7681083-8415291WA
Other55-0174569WA · Labor And Industries
Medicaid7070949-8347429WA
Other397572001WA · Group Health Provider Num
Medicaid7681083-8464992WA
Other=========-0563FAVA · Regence Speech Therapy

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 50D2253482

Provail · Seattle, WA
Active · expires Apr 4, 2028
CLIA Number50D2253482
Laboratory TypeAssisted Living Facility
Certificate Effective DateFebruary 22, 2022
Certificate Expiration DateApril 4, 2028
Laboratory DirectorAmal Grabinski
Laboratory Phone(206) 363-7303
Laboratory LocationProvail12550 Aurora Ave N, Seattle, WA 98133
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 12

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

MS. JENNIFER ANDERSON OTR/L
Occupational Therapist
12550 AURORA AVE N
SEATTLE, WA 98133
King County (206) 363-7303
MS. AMANDA BETH WYDEVELD CCC-SLP
Speech-Language Pathologist
12550 AURORA AVE N
SEATTLE, WA 98133
King County (206) 363-7303
KELLY MARIE KUEHL MA CCC SLP
Speech-Language Pathologist
12550 AURORA AVE N
SEATTLE, WA 98133
King County (206) 363-7303
JENNIFER J BOYCE MOT, OTR/L
Occupational Therapist
12550 AURORA AVE N
SEATTLE, WA 98133
King County (206) 363-7303
KATHERINE SCHUELKE CCC-SLP
Speech-Language Pathologist
12550 AURORA AVE N
SEATTLE, WA 98133
King County (206) 363-7303
JULIA LADNER OTR/L
Occupational Therapist
12550 AURORA AVE N
SEATTLE, WA 98133
King County (206) 363-7303
SPENCER DYKSTRA
Speech-Language Pathologist
12550 AURORA AVE N
SEATTLE, WA 98133
King County (206) 826-1097
MS. DONNA ANN COLE WILSON MS CCC
Speech-Language Pathologist
12550 AURORA AVE N
SEATTLE, WA 98133
King County (206) 826-1028

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 Provail's NPI number?

The NPI number for Provail is 1477760197. It was assigned to this organization in the NPPES registry on May 16, 2007. The provider is doing business as Provail Therapeutic And Assistive Technology Clinic.

Where is Provail located?

Provail is located at 12550 Aurora Ave N, Seattle, WA 98133. The listed phone number is (206) 363-7303.

What is Provail's specialty?

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

Does Provail hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2253482) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Provail accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Provail as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Provail was last updated on June 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.