TIBS for Kids – Speech-Language Pathologist, NPI 1467761353
Speech-Language Pathologist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for TIBS for Kids
4528 PLANK RD
SUITE A2
FREDERICKSBURG, VA 224070141
Phone: (540) 841-4443
Fax: (703) 563-7306
Type: Mailing
5427B BACKLICK RD
SPRINGFIELD, VA 221513915
Phone: (540) 424-6767
Fax: (703) 848-6412
Type: Mailing
171 Elden St Ste 1G
Herndon, VA 201704875
Phone: (571) 339-3581
Type: Location
8609 Sudley Rd Ste 201
Manassas, VA 201104500
Phone: (571) 339-3581
Type: Location
1936 Opitz Blvd
Woodbridge, VA 221913360
Phone: (703) 543-9164
Type: Location
4528 Plank Rd
Fredericksburg, VA 224070141
Phone: (540) 841-4443
Fax: (703) 563-7306
Type: Location
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: 2025-10-31
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20111104000021 | O | Clinic/Group Practice | VA | TBD |
| O20251031003909 | O | Physical/Occupational Therapy Group In Private Practice | VA | TBD |
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.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
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 22407)
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Reviews
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