Organization Active NPI

High Peaks Rehab & Devel Center

  • Audiologist-Hearing Aid Fitter
  • Syracuse, NY
National Provider Identifier
1245258607
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
0005531 Issued in NY
Legal business name
HIGH PEAKS REHAB & DEVEL CENTER
Practice address
170 Intrepid LN
Syracuse, NY 13205-2545
Phone
(315) 492-8319
Fax
(315) 492-3758
NPI assigned
Jul 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Judith D Swanson, MS CCC SLP
Title
Owner
Phone
(315) 492-8319

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 0014191 NY
Audiologist-Hearing Aid FitterGroup: 193200000X MULTI-SPECIALTY GROUP 237600000X 0005531 NY Primary

Addresses

Primary practice location

170 Intrepid LN
Syracuse, NY 13205-2545

Mailing address

170 Intrepid LN
Syracuse, NY 13205-2545
Phone (315) 492-8319

National Provider Directory

National Provider Directory

Locations

170 Intrepid Ln
Syracuse, NY 13205
Phone (315) 492-4060

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1245258607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 INTREPID LN",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132052545",
            "telephone_number": "315-492-8319",
            "fax_number": "315-492-3758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 INTREPID LN",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132052545",
            "telephone_number": "315-492-8319",
            "fax_number": "315-492-3758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGH PEAKS REHAB & DEVEL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "SWANSON",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-492-8319",
        "authorized_official_credential": "MS CCC SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "0014191",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NY",
            "license": "0005531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.