Shannon Rita Reilly, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

3044 Radcliffe Dr
Yorktown Heights, NY 10598-2519

Phone

(914) 539-5269

NPI assigned

Aug 26, 2021

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1629936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629936000000",
    "number": "1336816461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3044 RADCLIFFE DR",
            "city": "YORKTOWN HEIGHTS",
            "state": "NY",
            "postal_code": "105982519",
            "telephone_number": "914-539-5269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3044 RADCLIFFE DR",
            "city": "YORKTOWN HEIGHTS",
            "state": "NY",
            "postal_code": "105982519",
            "telephone_number": "914-539-5269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REILLY",
        "first_name": "SHANNON",
        "middle_name": "RITA",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-26",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald Henry Raskind, DDS
• Samantha M Ravelo
• Marjorie Redleaf, LCSW
• Debra S Reich, MD
• Katherine R Reilly, OTR
• Suzanne Marie Reilly, MS
• Rebecca Reina, M.S. CCC-SLP
• Meghan Leigh Reinhardt
• Robert Charles Reiss, DC
• Marjorie Jill Remaly, LCSW

• Speech-Language Pathologist in Yorktown Heights, NY
• Providers in Yorktown Heights, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2021; 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.