Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Johannah Illeen Gabbard

Individual provider Speech-Language Pathologist · NPI 1851921464

Johannah Illeen Gabbard is a Qualified Speech Language Pathologist in LA Grange, Kentucky. Qualified in 2018, 8 years ago. Practices with Fox Rehabilitation Services Oh, LLC, a 139-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
8
Licensed in
OH
In the registry since
2020
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Practice location Address checks out

4603 Timberwalk Ct
LA Grange, KY 40031-6746
Phone: (703) 575-8129
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SP.13490 (OH)

Record details

NPI number1851921464
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 22, 2020
Last updated in NPPESJanuary 22, 2020
Certification dateJanuary 22, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Fox Rehabilitation Services Oh, Llc — 139 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in LA Grange