Julia Pettay

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

KU1013059 Issued in OH

Practice address

741 Winkler Dr
Wooster, OH 44691-1652

Phone

(330) 345-6771

NPI assigned

Apr 9, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Tri-County Educational Service Center

  • Local Education Agency (LEA)
  • Wooster, OH
  • NPI 1396954335
  NPD (past)

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

{
    "created_epoch": "1397001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397001600000",
    "number": "1134548928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6633 WESTWOOD ST SW",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446469439",
            "telephone_number": "330-837-4597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "741 WINKLER DR",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446911652",
            "telephone_number": "330-345-6771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTAY",
        "first_name": "JULIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-09",
        "last_updated": "2014-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "KU1013059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Peterson, LISW
• Jennifer Peterson, MSW, LISW-S
• Kenna Peterson
• Kylie Brianne Peterson
• Ashlie Pethtel, LISW, MSW
• Kristina M Pettorini, BA, QMHS
• Desire Peyatt
• Virginia May Pfaff, MA,
• Carrie Ann Pfister
• Kayla Phanthavong

• Speech-Language Pathologist in Wooster, OH
• Providers in Wooster, OH by specialty
• Speech-Language Pathologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2014; 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.