Paula Renate Rastley, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

010703-1 Issued in NY

Practice address

16783 Ives Street Ext
Watertown, NY 13601-5312

Phone

(315) 788-5377

Fax

(315) 788-5373

NPI assigned

Oct 28, 2008

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225152000000",
    "number": "1407009061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16783 IVES STREET EXT",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136015312",
            "telephone_number": "315-788-5377",
            "fax_number": "315-788-5373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16783 IVES STREET EXT",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136015312",
            "telephone_number": "315-788-5377",
            "fax_number": "315-788-5373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASTLEY",
        "first_name": "PAULA",
        "middle_name": "RENATE",
        "name_prefix": "Mrs.",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-28",
        "last_updated": "2008-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "010703-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Ramil, LCSW
• Kim Ramus
• John M. Randall
• Jordan Elizabeth Randall, LMHC
• Sukhbir K Randhawa, DO
• Aruna Ray
• Claudio Reader, M.D.
• David Paul Rechlin, DO
• Megan Reddick, MS, CCC-SLP
• Abigail Victoria Reed, PA-C

• Speech-Language Pathologist in Watertown, NY
• Providers in Watertown, 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 Oct 28, 2008; 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.