Active NPI
Rebecca L Gagliardi, CCC-SLP
- Speech-Language Pathologist
- Timonium, MD
National Provider Identifier
1508987660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 05252
- Practice address
- 1818 Pot Spring Rd
Timonium, MD 21093-4445 - Phone
- (410) 583-5765
- NPI assigned
- Apr 3, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | |||
| Speech-Language Pathologist | 235Z00000X | 05252 | MD | Primary |
Addresses
Primary practice location
1818 Pot Spring Rd
Timonium, MD 21093-4445
Mailing address
1800 Charmuth Garth
Lutherville Timonium, MD 21093-5207
Phone (443) 226-1409
Other practice location 1
707 N Broadway
Baltimore, MD 21205-1832
Phone (443) 923-1886
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Timonum | Direct |
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 |
|---|---|---|---|
| 05252 | MD | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606867200000",
"number": "1508987660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 CHARMUTH GARTH",
"city": "LUTHERVILLE TIMONIUM",
"state": "MD",
"postal_code": "210935207",
"telephone_number": "443-226-1409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1818 POT SPRING RD",
"city": "TIMONIUM",
"state": "MD",
"postal_code": "210934445",
"telephone_number": "410-583-5765"
}
],
"practiceLocations": [
{
"address_1": "707 N Broadway",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212051832",
"country_code": "US",
"telephone_number": "443-923-1886",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GAGLIARDI",
"first_name": "REBECCA",
"middle_name": "L",
"credential": "CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-03",
"last_updated": "2020-12-02",
"certification_date": "2020-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MD",
"license": "05252",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Timonum",
"affiliation": "N",
"endpointDescription": "SLP",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1818 Pot Spring Rd",
"city": "Timonium",
"state": "MD",
"country_code": "US",
"postal_code": "210934445",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Timonium, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.