Rebecca Demoss, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146013442 Issued in IL

Practice address

225 W Roosevelt Rd
Wheaton, IL 60187-5264

Phone

(630) 254-5337

NPI assigned

Oct 30, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Turning Wheels Pediatric Therapy PC

  • Speech-Language Pathologist
  • Wheaton, IL
  • NPI 1770035370
  NPD (past)

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

{
    "created_epoch": "1604016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604016000000",
    "number": "1255931077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 W ROOSEVELT RD",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601875264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 W ROOSEVELT RD",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601875264",
            "telephone_number": "630-254-5337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMOSS",
        "first_name": "REBECCA",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-30",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146013442",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N/A",
            "identifier": "NONE",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "becca@turningwheelstherapy.com",
            "affiliation": "N",
            "address_1": "225 W Roosevelt Rd",
            "city": "Wheaton",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601875264",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Maria I Delgado, RBT-18-59826
• Samuel D Delisi, M.D.
• Jerniah Delt
• Maria V Dementieva
• Douglas Demerchant, PSY.D.
• Demoulin Family Chiropractic, LTD.
• Margaret Joyce Dempster, DC
• Micayla Denk
• Martha L Dennen, LCPC
• Laurie Denning, RBT

• Speech-Language Pathologist in Wheaton, IL
• Providers in Wheaton, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2020; 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.