Organization Active NPI

Massis Speech & Language PLLC

  • Speech-Language Pathologist
  • Herndon, VA
National Provider Identifier
1457227670
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
MASSIS SPEECH & LANGUAGE PLLC
Practice address
209 Elden St Ste 204
Herndon, VA 20170-4846
Phone
(571) 329-2658
NPI assigned
Oct 14, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Petra Massis, M.A., CCC-SLPNPI 1073255618
Title
Owner
Phone
(571) 329-2658

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

209 Elden St Ste 204
Herndon, VA 20170-4846

Mailing address

450 Massachusetts Ave NW Apt 904
Washington, DC 20001-6220
Phone (571) 329-2658

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1760400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760400000000",
    "number": "1457227670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 MASSACHUSETTS AVE NW APT 904",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200016220",
            "telephone_number": "571-329-2658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 ELDEN ST STE 204",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704846",
            "telephone_number": "571-329-2658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASSIS SPEECH & LANGUAGE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-14",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A",
        "authorized_official_last_name": "MASSIS",
        "authorized_official_first_name": "PETRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "571-329-2658",
        "authorized_official_credential": "M.A., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Herndon, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2025; 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.