Southeastern Swallowing Diagnostics
NPI 1205377348 · Health Service Clinic/Center · Ooltewah, TN
Enrolled with Medicare as Part B Supplier - Physical/Occupational Therapy Group in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Southeastern Swallowing Diagnostics is a Health Service Clinic/Center organization in Ooltewah, TN (NPI 1205377348).
Provider details
- NPI number
- 1205377348
- Entity type
- Organization
- Primary specialty
- Health Service Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kayla Stout, Co-Owner/Therapist(229) 318-9594
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2017-03-08
- Last updated
- 2018-10-03
Frequently asked questions
- What is Southeastern Swallowing Diagnostics's NPI number?
- Southeastern Swallowing Diagnostics's National Provider Identifier (NPI) is 1205377348, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southeastern Swallowing Diagnostics?
- Southeastern Swallowing Diagnostics is classified in the NPPES registry as Health Service Clinic/Center (Ambulatory Health Care Facilities).
- Where is Southeastern Swallowing Diagnostics located?
- Southeastern Swallowing Diagnostics's practice location on file with NPPES is 8459 Lexie Ln, Ooltewah, TN 37363-5796.
- What is Southeastern Swallowing Diagnostics's phone number?
- The practice phone number listed in the NPPES registry for Southeastern Swallowing Diagnostics is (301) 275-4057.
- Does Southeastern Swallowing Diagnostics accept Medicare?
- Southeastern Swallowing Diagnostics is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Southeastern Swallowing Diagnostics?
- The authorized official listed on Southeastern Swallowing Diagnostics's NPPES record is Kayla Stout, Co-Owner/Therapist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southeastern Swallowing Diagnostics's NPI active?
- Yes — Southeastern Swallowing Diagnostics's NPI (1205377348) is active in the NPPES registry as of the last update on 2018-10-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.