Individual provider Active NPI

Lindsay Stotts, MS, SLP

  • Speech-Language Pathologist
  • Berwyn, PA
National Provider Identifier
1013316181
Registry record updated Aug 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SL009026 Issued in PA
Practice address
511 Old Lancaster Rd Ste 12
Berwyn, PA 19312-1671
Phone
(610) 225-2451
Fax
(610) 964-6166
NPI assigned
Aug 14, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SL009026 PA Primary

Addresses

Primary practice location

511 Old Lancaster Rd Ste 12
Berwyn, PA 19312-1671

Mailing address

511 Old Lancaster Rd Ste 12
Berwyn, PA 19312-1671
Phone (610) 225-2451

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141113000137 PA Practitioner - Qualified Speech Language Pathologist 4486876158 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
JMB Therapy Services LLCGroup PAC ID 8628243748, 28 clinicians

Practice addresses (Care Compare)

511 Old Lancaster Rd
Suite 12
Berwyn, PA 19312-1671
Phone (610) 225-2451

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SL009026PAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
JMB Therapy Services LLC Speech-Language Pathologist CurrentSince Dec 31, 2023 Accepting new patients
JMB Therapy Services LLC CurrentSince Jun 18, 2014 Accepting new patients

Locations

511 Old Lancaster Rd
Ste 12
Berwyn, PA 19312
Phone (610) 225-2451

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628121600000",
    "number": "1013316181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 OLD LANCASTER RD STE 12",
            "city": "BERWYN",
            "state": "PA",
            "postal_code": "193121671",
            "telephone_number": "610-225-2451",
            "fax_number": "610-964-6166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 OLD LANCASTER RD STE 12",
            "city": "BERWYN",
            "state": "PA",
            "postal_code": "193121671",
            "telephone_number": "610-225-2451",
            "fax_number": "610-964-6166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOTTS",
        "first_name": "LINDSAY",
        "credential": "MS, SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-14",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL009026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berwyn, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.