Organization Active NPI

Ashley Brethel Speech-Language Pathology PLLC

  • Speech-Language Pathologist
  • West Islip, NY
National Provider Identifier
1003572520
Registry record updated Nov 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
ASHLEY BRETHEL SPEECH-LANGUAGE PATHOLOGY PLLC
Practice address
54 Ace CT
West Islip, NY 11795-2002
Phone
(631) 748-6232
NPI assigned
Nov 9, 2021
Last updated
Nov 9, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ashley BrethelNPI 1730450214
Title
Owner/SLP
Phone
(631) 748-6232

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X Primary

Addresses

Primary practice location

54 Ace CT
West Islip, NY 11795-2002

Mailing address

54 Ace CT
West Islip, NY 11795-2002
Phone (631) 748-6232

Other identifiers 1

IdentifierTypeStateIssuer
3848666MedicaidNY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1636416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636416000000",
    "number": "1003572520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 ACE CT",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117952002",
            "telephone_number": "631-748-6232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 ACE CT",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117952002",
            "telephone_number": "631-748-6232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASHLEY BRETHEL SPEECH-LANGUAGE PATHOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-09",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A",
        "authorized_official_last_name": "BRETHEL",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "OWNER/SLP",
        "authorized_official_telephone_number": "631-748-6232"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3848666",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Islip, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.