Individual provider Active NPI

Jordan Perkowski

  • Speech-Language Pathologist
  • Pittsburgh, PA
National Provider Identifier
1518740893
Registry record updated Aug 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SL016995 Issued in PA
Practice address
745 N Highland Ave
Pittsburgh, PA 15206-2526
Phone
(412) 362-6622
NPI assigned
Aug 18, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2023

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 SL016995 PA Primary

Addresses

Primary practice location

745 N Highland Ave
Pittsburgh, PA 15206-2526

Mailing address

205 Pores Rd
Greensburg, PA 15601-6282

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250507002445 PA Practitioner - Qualified Speech Language Pathologist 8527585140 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rehabcare Group East, LLCGroup PAC ID 0042128894, 39 clinicians

Practice addresses (Care Compare)

110 W Wissahickton Ave
Flourtown, PA 19031
Phone (215) 836-4179

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SL016995PAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabcare Group East, LLC CurrentSince Apr 16, 2025 Accepting new patients
Rehabcare Group East, LLC CurrentSince Apr 16, 2025 Accepting new patients

Locations

110 W Wissahickon Ave
Flourtown, PA 19031
Phone (215) 248-7801

1537 Washington Rd
Pittsburgh, PA 15228
Phone (412) 341-4400

8651 Carey Ln
Pittsburgh, PA 15237
Phone (412) 392-7000

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": "1692316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692316800000",
    "number": "1518740893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 PORES RD",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156016282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 N HIGHLAND AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152062526",
            "telephone_number": "412-362-6622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERKOWSKI",
        "first_name": "JORDAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-18",
        "last_updated": "2023-08-18",
        "certification_date": "2023-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL016995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2023; 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.