Active NPI
Rebecca M Denison, M.S., CCC-SLP
- Speech-Language Pathologist
- Waverly, NY
National Provider Identifier
1073765509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 017542-1
- Practice address
- 87 Ellis Creek Rd
Waverly, NY 14892-9540 - Phone
- (607) 972-9937
- NPI assigned
- Oct 15, 2008
- Last updated
- Oct 15, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | 017542-1 | NY | Primary |
Addresses
Primary practice location
87 Ellis Creek Rd
Waverly, NY 14892-9540
Mailing address
87 Ellis Creek Rd
Waverly, NY 14892-9540
Phone (607) 972-9937
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 017542-1 | NY | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224028800000",
"number": "1073765509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "87 ELLIS CREEK RD",
"city": "WAVERLY",
"state": "NY",
"postal_code": "148929540",
"telephone_number": "607-972-9937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "87 ELLIS CREEK RD",
"city": "WAVERLY",
"state": "NY",
"postal_code": "148929540",
"telephone_number": "607-972-9937"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DENISON",
"first_name": "REBECCA",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-10-15",
"last_updated": "2008-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "017542-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waverly, NY
- Joanne Condame, RN
- Crystal City Apothecary LLC (Waverly Pharmacy)
- Crystal City Apothecary LLC (Waverly Pharmacy)
- Patricia O. Davis, NPP
- Anne Demott, BS
- Diann M Dexter, LPN
- Kristen M Eddy, LMSW
- Elderwood Adult Day Care at Tioga
- Elderwood Assisted Living at Tioga LLC
- Elderwood Health Care at Tioga LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.