Individual provider Active NPI

Shaina Sclesky, CF-SLP

  • Speech-Language Pathologist
  • Ebensburg, PA
National Provider Identifier
1205442324
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
PSL001376 Issued in PA
Practice address
3053 New Germany Rd
Ebensburg, PA 15931-3516
Phone
(814) 472-1100
Fax
(814) 472-6445
NPI assigned
Sep 23, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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 PSL001376 PA Primary

Addresses

Primary practice location

3053 New Germany Rd
Ebensburg, PA 15931-3516

Mailing address

257 Myers Rd
Carrolltown, PA 15722-8517
Phone (814) 330-9465

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL ssclesky@camcoptot.com Direct CAMCO PHYSICAL AND OCCUPATIONAL THERAPY, LLC

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PSL001376PAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1600819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1205442324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "257 MYERS RD",
            "city": "CARROLLTOWN",
            "state": "PA",
            "postal_code": "157228517",
            "telephone_number": "814-330-9465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3053 NEW GERMANY RD",
            "city": "EBENSBURG",
            "state": "PA",
            "postal_code": "159313516",
            "telephone_number": "814-472-1100",
            "fax_number": "814-472-6445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCLESKY",
        "first_name": "SHAINA",
        "credential": "CF-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-23",
        "last_updated": "2023-11-27",
        "certification_date": "2020-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "PSL001376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ssclesky@camcoptot.com",
            "affiliation": "Y",
            "endpointDescription": "Work Email",
            "affiliationName": "CAMCO PHYSICAL AND OCCUPATIONAL THERAPY, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1454 Scalp Ave",
            "city": "Johnstown",
            "state": "PA",
            "country_code": "US",
            "postal_code": "159043321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ebensburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.