Active NPI
Carrie L. Cavanaugh
- Speech-Language Pathologist
- Manassas, VA
National Provider Identifier
1326793290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2202010414
- Practice address
- 10526 Aspen Wood CT
Manassas, VA 20110-2724 - Phone
- (908) 642-5112
- NPI assigned
- Feb 18, 2022
- Last updated
- Jun 23, 2026
- Sex
- Female
- 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 | 2202010414 | VA | Primary |
Addresses
Primary practice location
10526 Aspen Wood CT
Manassas, VA 20110-2724
Mailing address
270 Route 28
Bridgewater, NJ 08807-1919
Phone (908) 722-7022
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, DC
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3925 Downs Dr
Chantilly, VA 20151-3308
Phone (703) 810-3992
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fox Rehabilitation Services LLC | Current | Accepting new patients |
Locations
20 E Piccadilly St
Ste 1114
Winchester, VA 22601
Organizations & group practices 1
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": "1645142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782172800000",
"number": "1326793290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "270 ROUTE 28",
"city": "BRIDGEWATER",
"state": "NJ",
"postal_code": "088071919",
"telephone_number": "908-722-7022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10526 ASPEN WOOD CT",
"city": "MANASSAS",
"state": "VA",
"postal_code": "201102724",
"telephone_number": "908-642-5112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAVANAUGH",
"first_name": "CARRIE",
"middle_name": "L.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-18",
"last_updated": "2026-06-23",
"certification_date": "2026-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "VA",
"license": "2202010414",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manassas, VA
- Sheri Lynn Castellarin, MSED SLP
- Chaundra Schlese Castilla
- Shane Vincent Caswell, ATC
- Catalyst Recovery and Wellness LLC
- Catholic Charaties Diocese of Arlington (Mother of Mercy Free Medical Clinic)
- Priscilla Ku Cavanaugh, M.D.
- Cavery Wellness of Manassas, LLC
- CCPS Health LLC
- Karen Lynn Cebula, LPC
- Susan Jennifer Cecere, LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2026; 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.