Active NPI
Rebecca Whalen, SLP
- Speech-Language Pathologist
- Orange, CT
National Provider Identifier
1528600624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 308 Racebrook Road
Orange, CT 06477 - Phone
- (203) 920-1885
- Fax
- (203) 920-1881
- NPI assigned
- Oct 10, 2019
- 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 | Primary |
Addresses
Primary practice location
308 Racebrook Road
Orange, CT 06477
Mailing address
382 S Main St
Cheshire, CT 06410-3115
Phone (203) 250-9663
Other practice location 1
382 S Main St
Cheshire, CT 06410-3115
Phone (203) 250-9663
Other practice location 2
816 Broad St Ste 17
Meriden, CT 06450-4350
Phone (203) 250-9663
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cheshire Fitness Zone, LLC | Speech-Language Pathologist | Current | Accepting new patients |
Locations
382 S Main St
Cheshire, CT 06410
308 Racebrook Rd
Orange, CT 06477
Phone (203) 920-1885
Organizations & group practices 1
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.
-
- Pediatric Physical Therapist
- Cheshire, CT
- NPI 1205961547
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570665600000",
"number": "1528600624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "382 S MAIN ST",
"city": "CHESHIRE",
"state": "CT",
"postal_code": "064103115",
"telephone_number": "203-250-9663",
"fax_number": "203-699-9641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "308 RACEBROOK ROAD",
"city": "ORANGE",
"state": "CT",
"postal_code": "06477",
"telephone_number": "203-920-1885",
"fax_number": "203-920-1881"
}
],
"practiceLocations": [
{
"address_1": "382 S Main St",
"address_purpose": "LOCATION",
"city": "Cheshire",
"state": "CT",
"postal_code": "064103115",
"country_code": "US",
"telephone_number": "203-250-9663",
"fax_number": "203-699-9641",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "816 Broad St Ste 17",
"address_purpose": "LOCATION",
"city": "Meriden",
"state": "CT",
"postal_code": "064504350",
"country_code": "US",
"telephone_number": "203-250-9663",
"fax_number": "203-699-9641",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WHALEN",
"first_name": "REBECCA",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-10",
"last_updated": "2019-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orange, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.