Individual provider Active NPI

Kelly Rae Curto, M.A. CCC-SLP

  • Speech-Language Pathologist
  • Lindenhurst, NY
National Provider Identifier
1093850463
Registry record updated Aug 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
013672-1 Issued in NY
Practice address
247 E Riviera Dr
Lindenhurst, NY 11757-6826
Phone
(631) 957-1923
NPI assigned
Feb 21, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 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 013672-1 NY Primary

Addresses

Primary practice location

247 E Riviera Dr
Lindenhurst, NY 11757-6826

Mailing address

247 E Riviera Dr
Lindenhurst, NY 11757-6826
Phone (631) 957-1923

Other names 1

  • Mrs. Kelly Rae Potts Former name

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 Arts

State licenses

LicenseStateTypeSpecialty
013672-1NYMDSpeech-Language Pathologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344988800000",
    "number": "1093850463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "247 E RIVIERA DR",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117576826",
            "telephone_number": "631-957-1923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "247 E RIVIERA DR",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117576826",
            "telephone_number": "631-957-1923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CURTO",
        "first_name": "KELLY",
        "middle_name": "RAE",
        "name_prefix": "Mrs.",
        "credential": "M.A. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2012-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "013672-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "POTTS",
            "middle_name": "RAE",
            "prefix": "MRS.",
            "credential": "M.A. CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Aug 15, 2012; 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.