Individual provider Active NPI

Amanda Kehoe

  • Speech-Language Pathologist
  • Lindenhurst, NY
National Provider Identifier
1073260089
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
887 Kellum St
Lindenhurst, NY 11757-1508
Phone
(516) 524-7105
NPI assigned
Mar 9, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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 Primary

Addresses

Primary practice location

887 Kellum St
Lindenhurst, NY 11757-1508

Mailing address

654 S 5TH St
Lindenhurst, NY 11757-5620
Phone (516) 524-7105

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Theralympic Speech Therapy PLLC Speech-Language Pathologist CurrentSince Jul 2, 2022 Accepting new patients
Andrea E Nomberg Physician PC CurrentSince Jul 2, 2022 Accepting new patients
Ny Speech Pathology Consultants, P.C. Speech-Language Pathologist CurrentSince Mar 7, 2022 Accepting new patients

Locations

400 S Oyster Bay Rd
Ste 102
Hicksville, NY 11801
Phone (516) 595-7550

2330 Union Blvd
Islip, NY 11751
Phone (631) 224-4200

622 Hawkins Ave
Ronkonkoma, NY 11779
Phone (631) 240-3579

624 Hawkins Ave
Ronkonkoma, NY 11779
Phone (631) 240-3579

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Organizations & group practices 3

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": "1646784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1073260089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "654 S 5TH ST",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117575620",
            "telephone_number": "516-524-7105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "887 KELLUM ST",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117571508",
            "telephone_number": "516-524-7105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEHOE",
        "first_name": "AMANDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-09",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lindenhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; 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.