Active NPI
Teresa Elaine Pratt, MS, SLP, CCC
- Speech-Language Pathologist
- Syracuse, NY
National Provider Identifier
1497992176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 013869-1
- Practice address
- 725 Harrison St
Syracuse, NY 13210-2395 - Phone
- (315) 435-4499
- NPI assigned
- Jan 16, 2009
- 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 | 013869-1 | NY | Primary |
Addresses
Primary practice location
725 Harrison St
Syracuse, NY 13210-2395
Mailing address
5794 Nelson Rd
Canastota, NY 13032-4917
Phone (315) 655-2204
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 013869-1 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1232064000000",
"number": "1497992176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5794 NELSON RD",
"city": "CANASTOTA",
"state": "NY",
"postal_code": "130324917",
"telephone_number": "315-655-2204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 HARRISON ST",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132102395",
"telephone_number": "315-435-4499"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRATT",
"first_name": "TERESA",
"middle_name": "ELAINE",
"name_prefix": "Mrs.",
"credential": "MS, SLP, CCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-16",
"last_updated": "2009-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "013869-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.