Individual provider Active NPI

Patricia Reksc, MSED, CCC-SLP

  • Speech-Language Pathologist
  • Amsterdam, NY
National Provider Identifier
1477632115
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
006783 Issued in NY
Practice address
43 Liberty Dr
Amsterdam, NY 12010-5635
Phone
(518) 954-3366
NPI assigned
Nov 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 006783 NY Primary

Addresses

Primary practice location

43 Liberty Dr
Amsterdam, NY 12010-5635

Mailing address

482 McQueen Rd
Amsterdam, NY 12010-6372
Phone (518) 842-4922

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160705000921 NY Practitioner - Qualified Speech Language Pathologist 9830481209 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nysarc Inc Montgomery County Chapter LibertyGroup PAC ID 1557651411, 12 clinicians

Practice addresses (Care Compare)

43 Liberty Dr
Amsterdam, NY 12010-5635

47 Liberty Dr
Amsterdam, NY 12010-5635
Phone (518) 842-5080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
New Dimensions in Living Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: patriciarekscslp@synergytherapeutic.medentdirect.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477632115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "482 MCQUEEN RD",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "120106372",
            "telephone_number": "518-842-4922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 LIBERTY DR",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "120105635",
            "telephone_number": "518-954-3366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REKSC",
        "first_name": "PATRICIA",
        "credential": "MSED, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "006783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amsterdam, NY

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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.