Active NPI
Gloria Stansberry, M.A., CCC-SLP
- Speech-Language Pathologist
- Cleveland, OH
National Provider Identifier
1164557732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 3409
- Practice address
- 4553 Hinckley Industrial Pkwy
Cleveland, OH 44109-6009 - Phone
- (216) 635-3502
- NPI assigned
- Feb 22, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 3409 | OH | Primary |
Addresses
Primary practice location
4553 Hinckley Industrial Pkwy
Cleveland, OH 44109-6009
Mailing address
6222 Brookside Dr
Cleveland, OH 44144-1633
Phone (216) 398-8226
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CO9368691 | Other | OH | MEDICARE PTAN |
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)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3409 | OH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Cuyahoga | Past | 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.
-
- Public Health or Welfare Agency
- Parma, OH
- NPI 1164577904
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1262736000000",
"number": "1164557732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6222 BROOKSIDE DR",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441441633",
"telephone_number": "216-398-8226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4553 HINCKLEY INDUSTRIAL PKWY",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441096009",
"telephone_number": "216-635-3502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANSBERRY",
"first_name": "GLORIA",
"credential": "M.A., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-22",
"last_updated": "2010-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OH",
"license": "3409",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "CO9368691",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.