Individual provider Active NPI

Antoinette Marie Horrisland, MS.SLP

  • Speech-Language Pathologist
  • Pearl River, NY
National Provider Identifier
1104182351
Registry record updated Apr 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
021793 Issued in NY
Practice address
76 N Middletown Rd
Pearl River, NY 10965-2018
Phone
(845) 746-1415
NPI assigned
Apr 2, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 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 021793 NY Primary

Addresses

Primary practice location

76 N Middletown Rd
Pearl River, NY 10965-2018

Mailing address

76 N Middletown Rd
Pearl River, NY 10965-2018
Phone (845) 746-1415

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260303001542 NV Practitioner - Qualified Speech Language Pathologist 4183106867 Practice locations: Las Vegas, NV

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4225 S Eastern Ave
6 266
Las Vegas, NV 89119-5486

6221 Anticline Ave
Las Vegas, NV 89139-5440
Phone (702) 218-7484

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sail Therapy LLC Speech-Language Pathologist CurrentSince Oct 21, 2025 Accepting new patients

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": "1333324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333324800000",
    "number": "1104182351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 N MIDDLETOWN RD",
            "city": "PEARL RIVER",
            "state": "NY",
            "postal_code": "109652018",
            "telephone_number": "845-746-1415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 N MIDDLETOWN RD",
            "city": "PEARL RIVER",
            "state": "NY",
            "postal_code": "109652018",
            "telephone_number": "845-746-1415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORRISLAND",
        "first_name": "ANTOINETTE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MS.SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-02",
        "last_updated": "2012-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "021793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearl River, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.