Individual provider Active NPI

Lia Speyer

  • Speech-Language Pathologist
  • Pearl River, NY
National Provider Identifier
1265046767
Registry record updated Nov 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
031-062 Issued in NY
Practice address
664 Orangeburg Rd
Pearl River, NY 10965-2830
Phone
(845) 735-3066
NPI assigned
Sep 2, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 031-062 NY Primary

Addresses

Primary practice location

664 Orangeburg Rd
Pearl River, NY 10965-2830

Mailing address

664 Orangeburg Rd
Pearl River, NY 10965-2830
Phone (845) 735-3066

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211008001213 NY Practitioner - Qualified Speech Language Pathologist 6406254200 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
031062NYMDPharmacist
031-062NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Optimal Home Care Inc CurrentSince Sep 23, 2021 Accepting new patients
A Starting Place PastSince Sep 6, 2020 Accepting new patients
Optimal Otpt PastSince Jul 16, 2023 Accepting new patients

Locations

873 Route 45
Ste 102
New City, NY 10956
Phone (845) 354-7779

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1599004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1265046767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "664 ORANGEBURG RD",
            "city": "PEARL RIVER",
            "state": "NY",
            "postal_code": "109652830",
            "telephone_number": "845-735-3066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "664 ORANGEBURG RD",
            "city": "PEARL RIVER",
            "state": "NY",
            "postal_code": "109652830",
            "telephone_number": "845-735-3066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPEYER",
        "first_name": "LIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-02",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "031-062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearl River, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.