Stephanie Kubelus Charles, M.S.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL010838 Issued in PA

Practice address

542 Boulevard Ave
Dickson City, PA 18519-1750

Phone

(610) 746-1900

NPI assigned

Jun 2, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fox Rehabilitation Services IncGroup PAC ID 0143133009, 1,169 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Fox Rehabilitation Services Inc

  • Physical Therapist
  • Wilmington, DE
  • NPI 1326092503

  PA, Speech-Language Pathologist

  Medicare reassignment Care Compare group NPD
• Procare Physical Therapy Inc

  • Physical Therapist
  • Towanda, PA
  • NPI 1003876319
  NPD (past)

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

{
    "created_epoch": "1306972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653955200000",
    "number": "1306130752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1143 STATE ROUTE 502 APT 335",
            "city": "SPRING BROOK TOWNSHIP",
            "state": "PA",
            "postal_code": "184446462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "542 BOULEVARD AVE",
            "city": "DICKSON CITY",
            "state": "PA",
            "postal_code": "185191750",
            "telephone_number": "610-746-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLES",
        "first_name": "STEPHANIE",
        "middle_name": "KUBELUS",
        "name_prefix": "Ms.",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-02",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL010838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Georgiana Carrick
• Kelsey Powell Casari, CRNP
• Shelby Lynn Casey
• Joseph G Cesare, M.D.
• Niriksha Madanlal Chandrani, M.D.
• Quincy Cheesman, DO
• Chirohab PC
• Amy Ciborosky
• Joshua David Cillo, AU.D
• Peter A Cognetti II, MD

• Speech-Language Pathologist in Dickson City, PA
• Providers in Dickson City, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.