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CASEY'S SPECIALTY SPEECH, LLC
NPI 1528624673
Speech-Language Pathologist in Pocatello, ID

Active since May 14, 2019
611 WILSON AVE STE 6C, POCATELLO, ID 83201(208) 242-7377(208) 417-0956 Get Directions Write a Review

NPPES record last updated: May 17, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 17, 2022, Feb 12, 2022, Jun 1, 2019 and 1 more (4 updates tracked since 2019).

About Casey's Specialty Speech, Llc NPPES

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

CASEY'S SPECIALTY SPEECH, LLC (NPI 1528624673) is a healthcare organization registered as a speech-language pathologist in Pocatello, Idaho and active in the NPI registry since May 2019. The organization maintains a secondary practice location in Pocatello and lists Casey Ulrich, Owner/speech Therapist, as its authorized official.

NPPES Registry Identity

NPI1528624673
Entity TypeOrganization
Primary Taxonomy235Z00000X
Legal Business NameCASEY'S SPECIALTY SPEECH, LLC
Location Address611 WILSON AVE STE 6CPocatello, ID 83201-5046
Mailing Address13413 N Moonglow LnPocatello, ID 83202-5122 · (208) 242-7377
Phone(208) 242-7377
Fax(208) 417-0956
Organization SubpartNo
Authorized OfficialCasey UlrichOwner/speech Therapist · (208) 242-7377
Enumeration DateMay 14, 2019
Last NPPES UpdateMay 17, 20224 updates tracked since enumeration
NPPES CertifiedMay 17, 2022
✔ NPI 1528624673 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
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.
611 WILSON AVE STE 6C, Pocatello, ID 83201
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Secondary Practice Location 1

Location 113413 N Moonglow LnPocatello, ID 83202-5122 · Phone (208) 242-7377

Other Identifiers 1

Medicaid1528624673ID

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Casey's Specialty Speech, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Casey's Specialty Speech, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Casey Ulrich, M.S.CCC-SLP
Qualified Speech Language Pathologist
NPI 1073959441
13413 N MOONGLOW LN
Chubbuck, ID 83202
(208) 409-1188
✔ Accepts Medicare4.8 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Casey's Specialty Speech, LLC's NPI number?

The NPI number for Casey's Specialty Speech, LLC is 1528624673. It was assigned to this organization in the NPPES registry on May 14, 2019.

Where is Casey's Specialty Speech, LLC located?

Casey's Specialty Speech, LLC is located at 611 Wilson Ave Ste 6C, Pocatello, ID 83201. The listed phone number is (208) 242-7377.

What is Casey's Specialty Speech, LLC's specialty?

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

Is Casey's Specialty Speech, LLC enrolled in Medicare?

Yes. Casey's Specialty Speech, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Casey's Specialty Speech, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Qualified Speech Language Pathologist) reassigns their Medicare billing to Casey's Specialty Speech, LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Casey's Specialty Speech, LLC was last updated on May 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.