Organization Active NPI

R.M. Speech Therapy PLLC

  • Hearing and Speech Clinic/Center
  • Huntington, NY
National Provider Identifier
1285476127
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
Legal business name
R.M. SPEECH THERAPY PLLC
Practice address
775 Park Ave Ste 255
Huntington, NY 11743-7538
Phone
(631) 824-3195
Fax
(631) 824-3195
NPI assigned
Jun 11, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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

Authorized official

Name
Racheal McInnes, CCC-SLP TSSLDNPI 1225400880
Title
Owner
Phone
(631) 824-3195

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X Primary

Addresses

Primary practice location

775 Park Ave Ste 255
Huntington, NY 11743-7538

Mailing address

21 Kellogg PL
Huntington Station, NY 11746-3915
Phone (631) 848-6325

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240723000028 NY Part B Supplier - Clinic/Group Practice 1759827199 Receives reassigned benefits from 1 practitioner
Practice locations: Huntington, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1718064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718064000000",
    "number": "1285476127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 KELLOGG PL",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117463915",
            "telephone_number": "631-848-6325",
            "fax_number": "631-824-7640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 PARK AVE STE 255",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117437538",
            "telephone_number": "631-824-3195",
            "fax_number": "631-824-3195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R.M. SPEECH THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-11",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A",
        "authorized_official_last_name": "MCINNES",
        "authorized_official_first_name": "RACHEAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-824-3195",
        "authorized_official_credential": "CCC-SLP TSSLD"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; 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.