Emma Whitney
Individual provider Active NPI Speech-Language Pathologist · Old Forge, NY
NPI 1134090053 · NPPES record last updated Sep 15, 2025
Key facts
- NPI
- 1134090053
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 035689 (NY)
- Practice address
- 3002 Main Street
Old Forge, NY 13420 - Phone
- (315) 369-3222
- NPI assigned
- Sep 15, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 035689 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Town of Webb Ufsd | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 035689 | NY | Yes |
Addresses
Primary practice location
3002 Main Street
Old Forge, NY 13420
Mailing address
10700 N Lake Rd
Forestport, NY 13338-2503
Other providers in Old Forge, NY
All providers in Old Forge, NY · Speech-Language Pathologist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 15, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.