Active NPI
Laree Eileen Earl, M.S.
- Speech-Language Pathologist
- Apex, NC
National Provider Identifier
1417090713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 13640
- Practice address
- 852 Perry Rd
Apex, NC 27502-7701 - Phone
- (919) 446-5670
- Fax
- (919) 267-4761
- NPI assigned
- Feb 15, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 011477-1 | NY | |
| Speech-Language Pathologist | 235Z00000X | 13640 | NC | Primary |
Addresses
Primary practice location
852 Perry Rd
Apex, NC 27502-7701
Mailing address
849 Bristol Bridge Dr
Cary, NC 27519-1011
Phone (516) 658-7755
Other practice location 1
33 Independence Way
Miller Place, NY 11764-2337
Phone (631) 474-2620
Other practice location 2
849 Bristol Bridge Dr
Cary, NC 27519-1011
Phone (516) 658-7755
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011477-1 | NY | MD | Psychologist |
| 13640 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Complete Rehabilitation and Sports Physical Therapy, PC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Physical Therapist
- Ronkonkoma, NY
- NPI 1811097306
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599091200000",
"number": "1417090713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "849 BRISTOL BRIDGE DR",
"city": "CARY",
"state": "NC",
"postal_code": "275191011",
"telephone_number": "516-658-7755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "852 PERRY RD",
"city": "APEX",
"state": "NC",
"postal_code": "275027701",
"telephone_number": "919-446-5670",
"fax_number": "919-267-4761"
}
],
"practiceLocations": [
{
"address_1": "33 Independence Way",
"address_purpose": "LOCATION",
"city": "Miller Place",
"state": "NY",
"postal_code": "117642337",
"country_code": "US",
"telephone_number": "631-474-2620",
"fax_number": "631-474-1142",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "849 Bristol Bridge Dr",
"address_purpose": "LOCATION",
"city": "Cary",
"state": "NC",
"postal_code": "275191011",
"country_code": "US",
"telephone_number": "516-658-7755",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EARL",
"first_name": "LAREE",
"middle_name": "EILEEN",
"name_prefix": "Mrs.",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-15",
"last_updated": "2020-09-03",
"certification_date": "2020-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "011477-1",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "13640",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Apex, NC
- Michael Tyler Dutcher
- Dutchess II
- Kelli Duvall
- Dynamic Therapy, Inc.
- Caroline Cook Earl, NP
- Kendall Lynn Earley, MOT
- Heather R Easley, LCSWA
- Educare Community Living Corp - North Carolina
- Educare Community Living Corp-North Carolina (Community Alternatives North Carolina)
- Educare Community Living Corporation North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.