Individual provider Active NPI

Katerina Maria Delidakis

  • Speech-Language Pathologist
  • Virginia Beach, VA
National Provider Identifier
1275413726
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2204001696 Issued in VA
Practice address
4772 Euclid Rd Ste C
Virginia Beach, VA 23462-3800
Phone
(757) 606-0987
NPI assigned
Sep 4, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

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 2204001696 VA Primary

Addresses

Primary practice location

4772 Euclid Rd Ste C
Virginia Beach, VA 23462-3800

Mailing address

1160 Revere Point Rd
Virginia Beach, VA 23455-4814

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

State licenses

LicenseStateTypeSpecialty
2204001696VAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Resolute Therapy Collaborative, LLC Speech-Language Pathologist CurrentSince Sep 8, 2025 Accepting new patients

Locations

4772 Euclid Rd
Ste C
Virginia Beach, VA 23462
Phone (757) 272-1694

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.

NPI Registry JSON

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

{
    "created_epoch": "1756944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1275413726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 REVERE POINT RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234554814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4772 EUCLID RD STE C",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234623800",
            "telephone_number": "757-606-0987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELIDAKIS",
        "first_name": "KATERINA",
        "middle_name": "MARIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-04",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2204001696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.