Active NPI
Trisha Ray, SP
- Speech-Language Pathologist
- Highland Hills, OH
National Provider Identifier
1487948063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP.10008
- Practice address
- 4255 Northfield Rd
Highland Hills, OH 44128-2811 - Phone
- (216) 291-9700
- Fax
- (216) 378-4613
- NPI assigned
- Jun 1, 2011
- 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 | SP.10008 | OH | Primary |
Addresses
Primary practice location
4255 Northfield Rd
Highland Hills, OH 44128-2811
Mailing address
126 Burlington Oval Dr
Chardon, OH 44024-1452
Phone (440) 409-9087
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0028740 | Medicaid | OH |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP.10008 | OH | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306886400000",
"number": "1487948063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "126 BURLINGTON OVAL DR",
"city": "CHARDON",
"state": "OH",
"postal_code": "440241452",
"telephone_number": "440-409-9087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4255 NORTHFIELD RD",
"city": "HIGHLAND HILLS",
"state": "OH",
"postal_code": "441282811",
"telephone_number": "216-291-9700",
"fax_number": "216-378-4613"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAY",
"first_name": "TRISHA",
"credential": "SP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-01",
"last_updated": "2011-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OH",
"license": "SP.10008",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0028740",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Highland Hills, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.