Individual provider Active NPI

Erin Elizabeth Fuller

  • Speech-Language Pathologist
  • Pittsburgh, PA
National Provider Identifier
1093607707
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
30004777 Issued in NC
Practice address
430 Shady Ave Apt 3
Pittsburgh, PA 15206-4561
Phone
(317) 607-4238
NPI assigned
Jul 17, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SL018690 PA
Speech-Language Pathologist 235Z00000X 2202012078 VA
Speech-Language Pathologist 235Z00000X 30004777 NC Primary
Speech-Language Pathologist 235Z00000X 6660-154 WI

Addresses

Primary practice location

430 Shady Ave Apt 3
Pittsburgh, PA 15206-4561

Mailing address

430 Shady Ave Apt 3
Pittsburgh, PA 15206-4561

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, VA, PA, NC4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20250728001827 WI Practitioner - Qualified Speech Language Pathologist 5890202642 Reassigns benefits to 1 organization
I20250820001309 VA Practitioner - Qualified Speech Language Pathologist 5890202642 Reassigns benefits to 1 organization
I20250822003383 PA Practitioner - Qualified Speech Language Pathologist 5890202642 Reassigns benefits to 1 organization
I20260130003156 NC Practitioner - Qualified Speech Language Pathologist 5890202642 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Expressable Therapy PCGroup PAC ID 0042698136, 67 clinicians

Practice addresses (Care Compare)

100 S Juniper St
Philadelphia, PA 19107-2703
Phone (561) 462-3933

10432 Balls Ford Rd
Suite 300
Manassas, VA 20109-2517
Phone (561) 462-3933

342 N Water St
Suite 600
Milwaukee, WI 53202-5715
Phone (561) 462-3933

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30004777NCMDSpeech-Language Pathologist
SL018690PAMDSpeech-Language Pathologist
2202012078VAMDSpeech-Language Pathologist
6660-154WIMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Expressable Therapy PC Speech-Language Pathologist CurrentSince Aug 11, 2025 Accepting new patients
Expressable Speech-Language Pathology, P.C. Speech-Language Pathologist CurrentSince Jan 12, 2026 Accepting new patients

Locations

633 W 5th St
Ofc 2876B
Los Angeles, CA 90071

2530 Meridian Pkwy
Ste 300
Durham, NC 27713
Phone (919) 443-1708

615 Saint George Square Ct
Ste 300
Winston Salem, NC 27103
Phone (336) 793-8125

100 S Juniper St
Fl 3
Philadelphia, PA 19107
Phone (267) 999-9534

7600 Chevy Chase Dr
Ste 300
Austin, TX 78752
Phone (512) 318-2503

10432 Balls Ford Rd
Ste 300
Manassas, VA 20109
Phone (571) 229-8708

342 N Water St
Ste 600
Milwaukee, WI 53202
Phone (414) 296-6189

Organizations & group practices 2

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": "1752710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769472000000",
    "number": "1093607707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 SHADY AVE APT 3",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152064561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 SHADY AVE APT 3",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152064561",
            "telephone_number": "317-607-4238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLER",
        "first_name": "ERIN",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-17",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL018690",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202012078",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "30004777",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "6660-154",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2026; 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.