Individual provider Active NPI

Rebecca Ford

  • Speech-Language Pathologist
  • Frederick, MD
National Provider Identifier
1295462950
Registry record updated Aug 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
02570L Issued in MD
Practice address
4640 Wedgewood Blvd Ste 104&105
Frederick, MD 21703-7114
Phone
(240) 457-9558
NPI assigned
Aug 3, 2022
Last updated
Aug 3, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 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 02570L MD Primary

Addresses

Primary practice location

4640 Wedgewood Blvd Ste 104&105
Frederick, MD 21703-7114

Mailing address

1301 Meadowcrest Dr
Shavertown, PA 18708-9203
Phone (570) 406-8655

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
02570LMDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hagerstown Home Care Therapy, Inc. CurrentSince Aug 7, 2022 Accepting new patients
Hagerstown Home Care Therapy, Inc. Speech-Language Pathologist Past Accepting new patients
Hagerstown Home Care Therapy, Inc. PastSince Dec 10, 2023 Accepting new patients

Locations

4640 Wedgewood Blvd
Ste 104105
Frederick, MD 21703
Phone (240) 457-9558

1045 Maryland Ave
Hagerstown, MD 21740
Phone (240) 291-1043

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, 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": "1659484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659484800000",
    "number": "1295462950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 MEADOWCREST DR",
            "city": "SHAVERTOWN",
            "state": "PA",
            "postal_code": "187089203",
            "telephone_number": "570-406-8655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4640 WEDGEWOOD BLVD STE 104&105",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217037114",
            "telephone_number": "240-457-9558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "REBECCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-03",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "02570L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2022; 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.