NPIMap

Organization Active NPI

Gorge Falls Therapy SLP, OT, PLLC

  • Early Intervention Provider Agency
  • Ithaca, NY
National Provider Identifier
1295258689
Registry record updated Nov 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
0165021 Issued in NY
Legal business name
GORGE FALLS THERAPY SLP, OT, PLLC
Practice address
225 S Fulton St Ste D
Ithaca, NY 14850-3344
Phone
(607) 437-0141
NPI assigned
Jul 18, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2018

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

Authorized official

Name
Deana Tracy Silvernail, MS, CCC-SLPNPI 1912159203
Title
Owner/SLP
Phone
(607) 437-0141

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
Early Intervention Provider Agency 252Y00000X 0165021 NY Primary

Addresses

Primary practice location

225 S Fulton St Ste D
Ithaca, NY 14850-3344

Mailing address

52 Benjamin Hill Rd
Newfield, NY 14867-9795
Phone (607) 437-0141

Other practice location 1

430 W State St Ste 205
Ithaca, NY 14850-5279
Phone (607) 437-0141

National Provider Directory

National Provider Directory
Tax ID family
Gorge Falls Therapy SLP OT PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

225 S Fulton St
Ste D
Ithaca, NY 14850
Phone (607) 437-0141

Practitioners & affiliated clinicians

Practitioners 7

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": "1500336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543449600000",
    "number": "1295258689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 BENJAMIN HILL RD",
            "city": "NEWFIELD",
            "state": "NY",
            "postal_code": "148679795",
            "telephone_number": "607-437-0141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 S FULTON ST STE D",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148503344",
            "telephone_number": "607-437-0141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "430 W State St Ste 205",
            "address_purpose": "LOCATION",
            "city": "Ithaca",
            "state": "NY",
            "postal_code": "148505279",
            "country_code": "US",
            "telephone_number": "607-437-0141",
            "fax_number": "607-437-0141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GORGE FALLS THERAPY SLP, OT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-18",
        "last_updated": "2018-11-29",
        "status": "A",
        "authorized_official_last_name": "SILVERNAIL",
        "authorized_official_first_name": "DEANA",
        "authorized_official_middle_name": "TRACY",
        "authorized_official_title_or_position": "OWNER/SLP",
        "authorized_official_telephone_number": "607-437-0141",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "0165021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ithaca, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2018; 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.