Active NPI
Patricia M Scapellati, ST
- Speech-Language Pathologist
- Philadelphia, PA
National Provider Identifier
1467679795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SL005742L
- Practice address
- 2100 W Girard Ave
Philadelphia, PA 19130 - Phone
- (215) 685-0885
- NPI assigned
- Apr 19, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SL005742L | PA | Primary |
Addresses
Primary practice location
2100 W Girard Ave
Philadelphia, PA 19130
Mailing address
1537 Rodman Street
Philadelphia, PA 19146
Phone (267) 319-1170
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41YS00209800 | Other | NJ | STATE LICENSURE |
| SL005742L | Other | PA | STATE LICENSURE |
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 |
|---|---|---|---|
| SL005742L | PA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1467679795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1537 RODMAN STREET",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19146",
"telephone_number": "267-319-1170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 W GIRARD AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19130",
"telephone_number": "215-685-0885"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCAPELLATI",
"first_name": "PATRICIA",
"middle_name": "M",
"credential": "ST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PA",
"license": "SL005742L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSURE",
"identifier": "41YS00209800",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSURE",
"identifier": "SL005742L",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.