Active NPI
Rebecca Moyer Pala, MA, CCC-SLP, ATP
- Speech-Language Pathologist
- Falls Church, VA
National Provider Identifier
1487882262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2202004946
- Practice address
- 3009 Nicosh Cir Unit 4105
Falls Church, VA 22042-1240 - Phone
- (301) 873-1365
- NPI assigned
- Jun 30, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 | 2202004946 | VA | Primary |
Addresses
Primary practice location
3009 Nicosh Cir Unit 4105
Falls Church, VA 22042-1240
Mailing address
3009 Nicosh Cir Unit 4105
Falls Church, VA 22042-1240
Phone (301) 873-1365
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2202004946 | Other | VA | SPEECH-LANGUAGE PATHOLOGY LICENSE FOR COMMONWEALTH OF VIRGINIA |
| SLP000235 | Other | DC | DISTRICT OF COLUMBIA LICENSURE FOR SPEECH-LANGUAGE PATHOLOGY |
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)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2202004946 | VA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295827200000",
"number": "1487882262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3009 NICOSH CIR UNIT 4105",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220421240",
"telephone_number": "301-873-1365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3009 NICOSH CIR UNIT 4105",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220421240",
"telephone_number": "301-873-1365"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALA",
"first_name": "REBECCA",
"middle_name": "MOYER",
"name_prefix": "Mrs.",
"credential": "MA, CCC-SLP, ATP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-06-30",
"last_updated": "2011-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "VA",
"license": "2202004946",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SPEECH-LANGUAGE PATHOLOGY LICENSE FOR COMMONWEALTH OF VIRGINIA",
"identifier": "2202004946",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DISTRICT OF COLUMBIA LICENSURE FOR SPEECH-LANGUAGE PATHOLOGY",
"identifier": "SLP000235",
"state": "DC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Falls Church, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.