Individual provider Active NPI

Jessica Katherine Parry, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Scranton, PA
National Provider Identifier
1538784491
Registry record updated Dec 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SL016309 Issued in PA
Practice address
3 W Olive Street
Scranton, PA 18508-2572
Phone
(570) 963-3823
Fax
(570) 207-5988
NPI assigned
Jun 16, 2020
Last updated
Dec 29, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 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 SL016309 PA Primary

Addresses

Primary practice location

3 W Olive Street
Scranton, PA 18508-2572

Mailing address

437 N Pioneer Ave
Dallas, PA 18612-8715
Phone (570) 406-0425

Other practice location 1

74 Bridge St
Newton, MA 02458-1147
Phone (617) 969-4410

Other practice location 2

542 Boulevard Ave
Dickson City, PA 18519-1750
Phone (570) 489-5010

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221027000557 PA Practitioner - Qualified Speech Language Pathologist 2264809656 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Geisinger ClinicGroup PAC ID 5395657001, 3,432 clinicians

Practice addresses (Care Compare)

3 W Olive St
Suite 118
Scranton, PA 18508-2576
Phone (570) 961-3823

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SL016309PAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger Clinic Current Accepting new patients
Geisinger Clinic CurrentSince Jan 14, 2024 Accepting new patients
Ota the Koomar Center, LLC CurrentSince Mar 7, 2021 Accepting new patients
Occupational Therapy Associates - Watertown, Inc. CurrentSince Feb 25, 2024 Accepting new patients
Geieinger Clinic CurrentSince Jan 14, 2024 Accepting new patients
Pivot Physical Therapy of Pennsylvania, LLC Speech-Language Pathologist CurrentSince Sep 6, 2022 Accepting new patients
Procare Physical Therapy Inc PastSince Sep 6, 2022 Accepting new patients
Dynamic Therapy Services, LLC Past Accepting new patients

Locations

74 Bridge St
Newton, MA 02458
Phone (617) 969-4410

100 N Academy Ave
Danville, PA 17822

3 W Olive St
Scranton, PA 18508
Phone (570) 207-4054

3 W Olive St
Ste 118
Scranton, PA 18508
Phone (570) 961-3823

542 Boulevard Ave
Scranton, PA 18519
Phone (570) 489-5010

655 Northern Blvd
South Abington Township, PA 18411
Phone (570) 587-2142

130 W Main St
Ste 100B
Trappe, PA 19426
Phone (484) 471-6850

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1592265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703808000000",
    "number": "1538784491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "437 N PIONEER AVE",
            "city": "DALLAS",
            "state": "PA",
            "postal_code": "186128715",
            "telephone_number": "570-406-0425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 W OLIVE STREET",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185082572",
            "telephone_number": "570-963-3823",
            "fax_number": "570-207-5988"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "74 Bridge St",
            "address_purpose": "LOCATION",
            "city": "Newton",
            "state": "MA",
            "postal_code": "024581147",
            "country_code": "US",
            "telephone_number": "617-969-4410",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "542 Boulevard Ave",
            "address_purpose": "LOCATION",
            "city": "Dickson City",
            "state": "PA",
            "postal_code": "185191750",
            "country_code": "US",
            "telephone_number": "570-489-5010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARRY",
        "first_name": "JESSICA",
        "middle_name": "KATHERINE",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-16",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL016309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scranton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.