Individual provider Active NPI

Erica L Gallinat, SLP-CFY

  • Speech-Language Pathologist
  • Windsor, CT
National Provider Identifier
1083979629
Registry record updated Jul 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
1 Emerson Dr
Windsor, CT 06095-3204
Phone
(860) 640-6338
NPI assigned
Jul 10, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2012

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 CT Primary

Addresses

Primary practice location

1 Emerson Dr
Windsor, CT 06095-3204

Mailing address

26 Barry Dr
Gales Ferry, CT 06335-1804

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220802001008 FL Practitioner - Qualified Speech Language Pathologist 2769864164 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Speech Avenues Therapy CoGroup PAC ID 1759611957, 4 clinicians

Practice addresses (Care Compare)

107 Longwood Ave
Rockledge, FL 32955-2827
Phone (321) 338-2419

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Speech Avenues Therapy Co Speech-Language Pathologist CurrentSince Jul 21, 2022 Accepting new patients

Locations

1071 Port Malabar Blvd NE
Ste 206
Palm Bay, FL 32905

107 Longwood Ave
Rockledge, FL 32955
Phone (321) 338-2419

1237 Florida Ave S
Rockledge, FL 32955
Phone (321) 338-2419

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": "1341878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341878400000",
    "number": "1083979629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 BARRY DR",
            "city": "GALES FERRY",
            "state": "CT",
            "postal_code": "063351804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 EMERSON DR",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060953204",
            "telephone_number": "860-640-6338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLINAT",
        "first_name": "ERICA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "SLP-CFY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-10",
        "last_updated": "2012-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Windsor, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2012; 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.