TAYLOR D ALTOM (ST) – Speech-Language Pathologist, NPI 1861247207

TAYLOR D ALTOM (ST) is a healthcare provider. based in Marlow, Oklahoma. specializing in QUALIFIED SPEECH LANGUAGE PATHOLOGIST. They hold the professional credentials ST. They hold a License No. 23124 (OK). The NPI Number for TAYLOR D ALTOM (ST) is 1861247207

Main info

Female
Sole Proprietor
19 Years Of Experience
Accepts Medicare Assignment
Name
TAYLOR D ALTOM (ST)
NPI
1861247207
Phone
(580) 721-7100
Address
103 W MAIN ST
Enumeration Date
19 April 2024
Last Update Date
19 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5807217100
Graduation Year
2007 (19 years ago)
PAC ID
0446796247
Group Practice PAC ID
7618221375
Professional Enrollment ID
I20240729000145
Address ID
OK730552437MA103XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

114 QUALIFIED SPEECH LANGUAGE PATHOLOGIST in OK

Provider Addresses for TAYLOR D ALTOM (ST)

  • 103 W MAIN ST

    MARLOW, OK 730552437

    Phone: (580) 721-7100

    Fax: (833) 210-5732

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-07-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240729000145IQualified Speech Language PathologistOKTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 73055)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7618221375View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeOK
Physical Therapist In Private PracticeOK
-OK
Physical Therapist In Private PracticeOK
Physical Therapist In Private PracticeLA
Occupational Therapist In Private PracticeOK
Physical Therapist In Private PracticeOK
-OK

Reviews

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Frequently asked questions

Is TAYLOR D ALTOM (ST) listed with a National Provider Identifier?
Yes — TAYLOR D ALTOM (ST) has NPI 1861247207 on file in the registry.
Is TAYLOR D ALTOM (ST) shown as active in public data?
Registry records indicate TAYLOR D ALTOM (ST) maintains an active NPI.
How would a patient describe TAYLOR D ALTOM (ST)'s focus?
For TAYLOR D ALTOM (ST), the primary taxonomy reads as Speech-Language Pathologist. Clinical services aligned with this taxonomy classification.
Is TAYLOR D ALTOM (ST) associated with Marlow?
Public fields place TAYLOR D ALTOM (ST) around Marlow, Oklahoma. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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