Brianna Postorino, MS, CCC-SLP

Key facts

NPI

1417640624

Entity type

Individual (NPI type 1)

Primary specialty

Speech-Language Pathologist 235Z00000X

License

SL017881 (PA)

Practice address

210 E Street Rd Ste 2a
Feasterville Trevose, PA 19053-7680

Phone

(215) 344-2044

NPI assigned

Jun 1, 2023

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Credentials

Master of Science

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 25, 2024.

{
    "created_epoch": "1685577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1417640624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 BLUEBELL CT",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189403207",
            "telephone_number": "732-320-6670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 E STREET RD STE 2A",
            "city": "FEASTERVILLE TREVOSE",
            "state": "PA",
            "postal_code": "190537680",
            "telephone_number": "215-344-2044"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "920 Germantown Pike Ste 103",
            "address_purpose": "LOCATION",
            "city": "Plymouth Meeting",
            "state": "PA",
            "postal_code": "194627401",
            "country_code": "US",
            "telephone_number": "215-344-2044",
            "fax_number": "215-366-0116",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "44 Sweetbriar Ln",
            "address_purpose": "LOCATION",
            "city": "Levittown",
            "state": "PA",
            "postal_code": "190552226",
            "country_code": "US",
            "telephone_number": "215-344-2044",
            "fax_number": "215-366-0116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POSTORINO",
        "first_name": "BRIANNA",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-01",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL017881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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