Active NPI
Renee J Phillips, M.S.
- Speech-Language Pathologist
- New York, NY
National Provider Identifier
1235437856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 004118-1
- Practice address
- 220 E 23Rd St
Suite 200
New York, NY 10010-4606 - Phone
- (212) 683-4288
- NPI assigned
- Mar 6, 2011
- Last updated
- Mar 6, 2011
- 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 | 004118-1 | NY | Primary |
Addresses
Primary practice location
220 E 23Rd St
Suite 200
New York, NY 10010-4606
Mailing address
103 Maple Brook Rd
Tuxedo Park, NY 10987-4624
Phone (845) 238-0066
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 |
|---|---|---|---|
| 004118-1 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Physical and Occupational Therapy Associates, PLLC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Comprehensive Therapy Center
- Rehabilitation Practitioner
- New York, NY
- NPI 1487710919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299369600000",
"number": "1235437856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 MAPLE BROOK RD",
"city": "TUXEDO PARK",
"state": "NY",
"postal_code": "109874624",
"telephone_number": "845-238-0066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 E 23RD ST",
"address_2": "SUITE 200",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100104606",
"telephone_number": "212-683-4288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "RENEE",
"middle_name": "J",
"name_prefix": "Ms.",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-06",
"last_updated": "2011-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "004118-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.