Active NPI
Paul Raymond Reeb, SLP CCC
- Speech-Language Pathologist
- Muscatine, IA
National Provider Identifier
1295853026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 29
- Practice address
- 2610 Ashford Ave
Muscatine, IA 52761-8018 - Phone
- (563) 264-2899
- NPI assigned
- Mar 27, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 29 | IA | Primary |
Addresses
Primary practice location
2610 Ashford Ave
Muscatine, IA 52761-8018
Mailing address
2610 Ashford Ave
Muscatine, IA 52761-8018
Phone (563) 264-2899
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
| License | State | Type | Specialty |
|---|---|---|---|
| 29 | IA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295853026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2610 ASHFORD AVE",
"city": "MUSCATINE",
"state": "IA",
"postal_code": "527618018",
"telephone_number": "563-264-2899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2610 ASHFORD AVE",
"city": "MUSCATINE",
"state": "IA",
"postal_code": "527618018",
"telephone_number": "563-264-2899"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REEB",
"first_name": "PAUL",
"middle_name": "RAYMOND",
"credential": "SLP CCC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IA",
"license": "29",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Muscatine, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.