Rebecca Lynn Neely, M.S. CCC/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

111664 Issued in TX

Practice address

1919 Market St Unit 2705
Philadelphia, PA 19103-1947

Phone

(409) 719-2970

Fax

(817) 789-6849

NPI assigned

Sep 20, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Miss Rebecca Lynn Mosley Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1568937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597190400000",
    "number": "1104477223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 MARKET ST UNIT 2705",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191031947",
            "telephone_number": "409-719-2970",
            "fax_number": "817-789-6849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 MARKET ST UNIT 2705",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191031947",
            "telephone_number": "409-719-2970",
            "fax_number": "817-789-6849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEELY",
        "first_name": "REBECCA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "M.S. CCC/SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-20",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "1168852",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2020023156",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "111664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "MOSLEY",
            "middle_name": "LYNN",
            "prefix": "MISS",
            "credential": "M.S.CCC/SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Samuel David Needleman, RPH
• Samuel Joseph Needles, M.D.
• Hemanth Babu G Neeli, M.D.,
• Abby R Neely, CRNP
• Ariana Neely, MD
• Ziv Neeman, MD
• Neeo Homecare Services LLC
• Neeo Life Enrichment Center LLC
• Prathima Neerukonda Atluri, MD
• Danya Nees

• Speech-Language Pathologist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; 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.