Active NPI
Jessica Meyer Trostel
- Speech-Language Pathologist
- Duxbury, MA
National Provider Identifier
1447010285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 5603
- Practice address
- 290 Kingstown Way
Duxbury, MA 02332-4635 - Phone
- (508) 254-2316
- NPI assigned
- Mar 20, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 5603 | MA | Primary |
Addresses
Primary practice location
290 Kingstown Way
Duxbury, MA 02332-4635
Mailing address
74 Sweeney LN
Plymouth, MA 02360-6868
Phone (508) 254-2316
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 |
|---|---|---|---|
| 5603 | MA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paragon Outpatient Rehabilitation Services, LLC | Current | Accepting new patients | |
| Paragon Outpatient Rehabilitation Services, LLC | Current | Accepting new patients |
Locations
2701 Chestnut Station Ct
Louisville, KY 40299
Phone (502) 964-5359
303 N Hurstbourne Pkwy
Ste 200
Louisville, KY 40222
Phone (502) 213-7572
65 Briarwood Cir
Worcester, MA 01606
Phone (413) 304-2747
Organizations & group practices 2
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.
-
- Rehabilitation Clinic/Center
- Roxboro, NC
- NPI 1245014380
-
- Rehabilitation Clinic/Center
- Louisville, KY
- NPI 1871867325
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710892800000",
"number": "1447010285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "74 SWEENEY LN",
"city": "PLYMOUTH",
"state": "MA",
"postal_code": "023606868",
"telephone_number": "508-254-2316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "290 KINGSTOWN WAY",
"city": "DUXBURY",
"state": "MA",
"postal_code": "023324635",
"telephone_number": "508-254-2316"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TROSTEL",
"first_name": "JESSICA",
"middle_name": "MEYER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-20",
"last_updated": "2024-03-20",
"certification_date": "2024-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MA",
"license": "5603",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Duxbury, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.