Active NPI
Rebecca Cory Vespoli, M.S., CCC-SLP
- Speech-Language Pathologist
- Hauppauge, NY
National Provider Identifier
1235367194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 019541-1
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03836440 | Medicaid | NY |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 019541-1 | NY | MD | Massage Therapist |
| 7637 | MA | MD | Speech-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.