Individual provider Active NPI

Tara Cilio-Rhea, CCC-SLP

  • Speech-Language Pathologist
  • Virginia Beach, VA
National Provider Identifier
1033359690
Registry record updated Aug 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2202005671 Issued in VA
Practice address
5300 Kempsriver Dr Ste 10
Virginia Beach, VA 23464-5369
Phone
(757) 392-7161
Fax
(757) 300-5589
NPI assigned
Feb 23, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2022

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 2202005671 VA Primary

Addresses

Primary practice location

5300 Kempsriver Dr Ste 10
Virginia Beach, VA 23464-5369

Mailing address

5300 Kempsriver Dr Ste 10
Virginia Beach, VA 23464-5369
Phone (757) 392-7161

Other practice location 1

818 Newtown Rd
Virginia Beach, VA 23462-1116
Phone (757) 473-8016

Other practice location 2

7592 Shadow Lake Dr
Panama City Beach, FL 32407-0287
Phone (757) 469-2854

Other identifiers 1

IdentifierTypeStateIssuer
1841271830MedicaidVA

Other names 1

  • Miss Tara Cilio Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220818003096 VA Practitioner - Qualified Speech Language Pathologist 6709269079 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2202005671VAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
TLC Therapy 4 Kids LLC Speech-Language Pathologist CurrentSince Aug 1, 2022 Accepting new patients

Locations

5300 Kempsriver Dr
Ste 11410
Virginia Beach, VA 23464
Phone (757) 469-2854

5300 Kempsriver Dr
Ste 10
Virginia Beach, VA 23464
Phone (757) 392-7161

Organizations & group practices 1

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": "1235347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660608000000",
    "number": "1033359690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 KEMPSRIVER DR STE 10",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234645369",
            "telephone_number": "757-392-7161",
            "fax_number": "757-300-5589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 KEMPSRIVER DR STE 10",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234645369",
            "telephone_number": "757-392-7161",
            "fax_number": "757-300-5589"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "818 Newtown Rd",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234621116",
            "country_code": "US",
            "telephone_number": "757-473-8016",
            "fax_number": "757-473-3580",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7592 Shadow Lake Dr",
            "address_purpose": "LOCATION",
            "city": "Panama City Beach",
            "state": "FL",
            "postal_code": "324070287",
            "country_code": "US",
            "telephone_number": "757-469-2854",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CILIO-RHEA",
        "first_name": "TARA",
        "name_prefix": "Mrs.",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-23",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202005671",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1841271830",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TARA",
            "last_name": "CILIO",
            "prefix": "MISS",
            "credential": "CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.