Active NPI
Marisa Pitcher, CCC-SLP
- Speech-Language Pathologist
- West Chester, OH
National Provider Identifier
1053924860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 7591 Tylers Place Blvd
West Chester, OH 45069-6308 - Phone
- (513) 755-6600
- NPI assigned
- Aug 31, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
7591 Tylers Place Blvd
West Chester, OH 45069-6308
Mailing address
PO Box 411169
Boston, MA 02241-5368
Phone (888) 830-4125
Other practice location 1
104 W Dorothy Ln
Kettering, OH 45429-1449
Phone (585) 760-9766
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0406425 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655942400000",
"number": "1053924860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 411169",
"city": "BOSTON",
"state": "MA",
"postal_code": "022415368",
"telephone_number": "888-830-4125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7591 TYLERS PLACE BLVD",
"city": "WEST CHESTER",
"state": "OH",
"postal_code": "450696308",
"telephone_number": "513-755-6600"
}
],
"practiceLocations": [
{
"address_1": "104 W Dorothy Ln",
"address_purpose": "LOCATION",
"city": "Kettering",
"state": "OH",
"postal_code": "454291449",
"country_code": "US",
"telephone_number": "585-760-9766",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PITCHER",
"first_name": "MARISA",
"credential": "CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-31",
"last_updated": "2022-06-23",
"certification_date": "2022-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0406425",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in West Chester, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.