Individual provider Active NPI

Rebecca Cory Vespoli, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Hauppauge, NY
National Provider Identifier
1235367194
Registry record updated Feb 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
019541-1 Issued in NY
Practice address
49 Wireless Blvd Ste 170
Hauppauge, NY 11788-3946
Phone
(631) 382-7311
NPI assigned
Jun 30, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 7637 MA
Speech-Language Pathologist 235Z00000X 019541-1 NY Primary

Addresses

Primary practice location

49 Wireless Blvd Ste 170
Hauppauge, NY 11788-3946

Mailing address

72 Webb Ave
Patchogue, NY 11772-8025
Phone (631) 300-8480

Other practice location 1

538 Broadhollow Rd Ste 202
Achieve Beyond Pediatric Therapy Services
Melville, NY 11747-3668
Phone (631) 385-7780

Other identifiers 1

IdentifierTypeStateIssuer
03836440MedicaidNY

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
019541-1NYMDMassage Therapist
7637MAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549497600000",
    "number": "1235367194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 WEBB AVE",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117728025",
            "telephone_number": "631-300-8480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 WIRELESS BLVD STE 170",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117883946",
            "telephone_number": "631-382-7311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "538 Broadhollow Rd Ste 202",
            "address_2": "Achieve Beyond Pediatric Therapy Services",
            "address_purpose": "LOCATION",
            "city": "Melville",
            "state": "NY",
            "postal_code": "117473668",
            "country_code": "US",
            "telephone_number": "631-385-7780",
            "fax_number": "631-385-7795",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VESPOLI",
        "first_name": "REBECCA",
        "middle_name": "CORY",
        "name_prefix": "Ms.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-30",
        "last_updated": "2019-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "7637",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "019541-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03836440",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hauppauge, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2019; 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.