Amy L Larocca, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

OH08927 Issued in OH

Practice address

2993 Zenas CT
Twinsburg, OH 44087-3200

Phone

(614) 282-5429

NPI assigned

Jun 27, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Polaris Speech and Neurological Rehabilitation, LLC

  • Speech-Language Pathologist
  • Solon, OH
  • NPI 1750961199
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620345600000",
    "number": "1265639983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 834",
            "city": "TWINSBURG",
            "state": "OH",
            "postal_code": "440870834",
            "telephone_number": "330-227-4656",
            "fax_number": "844-921-1091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2993 ZENAS CT",
            "city": "TWINSBURG",
            "state": "OH",
            "postal_code": "440873200",
            "telephone_number": "614-282-5429"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44 S Souder Ave",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432221539",
            "country_code": "US",
            "telephone_number": "614-233-4268",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAROCCA",
        "first_name": "AMY",
        "middle_name": "L",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-27",
        "last_updated": "2021-05-07",
        "certification_date": "2021-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "OH08927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaclyn Kubiak
• Joseph Y Labastille, M.D.
• Dianne Lacerva, OTR/L
• Thomas Lane
• Alyssa Lardill
• Kimberly Laster, RN
• Laura Adelman DMD & Associates, Inc.
• LDW, LLC
• Aloise T Leeflora
• Legacy Community Healthcare, LLC

• Speech-Language Pathologist in Twinsburg, OH
• Providers in Twinsburg, OH by specialty
• Speech-Language Pathologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.