Active NPI
Vanessa Gillogly
- Speech-Language Pathologist
- State College, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SL013941
- Practice address
- 1950 Cliffside Dr
State College, PA 16801-7662 - Phone
- (814) 238-3139
- NPI assigned
- Jul 28, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SD | ||
| Speech-Language Pathologist | 235Z00000X | SL013941 | PA | Primary |
Addresses
Primary practice location
1950 Cliffside Dr
State College, PA 16801-7662
Mailing address
1950 Cliffside Dr
State College, PA 16801-7662
Other practice location 1
920 W King St
Spearfish, SD 57783-1300
Phone (605) 717-1205
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14172050 | Medicaid | SD |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SL013941 | PA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Select Rehabilitation, LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Empowerme Rehabilitation, LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Legacy Healthcare Services Inc | Speech-Language Pathologist | Current | Accepting new patients |
| Empowerme Rehabilitation, LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Legacy Healthcare Services Inc | Speech-Language Pathologist | Current | Accepting new patients |
Locations
13391 N 94th Dr
Peoria, AZ 85381
Phone (623) 232-9841
13822 S 46th Pl
Phoenix, AZ 85044
Phone (480) 598-1224
1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723
110 Horizon Dr
#310
Raleigh, NC 27615
Organizations & group practices 5
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.
-
- Multi-Specialty Clinic/Center
- Scottsdale, AZ
- NPI 1144954074
Speech-Language Pathologist
-
- Multi-Specialty Clinic/Center
- Williamsburg, VA
- NPI 1881366730
Speech-Language Pathologist
-
- Physical Therapist
- Cary, NC
- NPI 1225879489
Speech-Language Pathologist
-
- Physical Therapist
- Chandler, AZ
- NPI 1336770221
Speech-Language Pathologist
-
- Rehabilitation Clinic/Center
- Glenview, IL
- NPI 1346368248
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548115200000",
"number": "1346793171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1950 CLIFFSIDE DR",
"city": "STATE COLLEGE",
"state": "PA",
"postal_code": "168017662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1950 CLIFFSIDE DR",
"city": "STATE COLLEGE",
"state": "PA",
"postal_code": "168017662",
"telephone_number": "814-238-3139"
}
],
"practiceLocations": [
{
"address_1": "920 W King St",
"address_purpose": "LOCATION",
"city": "Spearfish",
"state": "SD",
"postal_code": "577831300",
"country_code": "US",
"telephone_number": "605-717-1205",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GILLOGLY",
"first_name": "VANESSA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-07-28",
"last_updated": "2019-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "SD",
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PA",
"license": "SL013941",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "14172050",
"state": "SD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in State College, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.