Active NPI
Rebecca Leigh Walsh
- Speech-Language Pathologist
- Astoria, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 020137-1
- Practice address
- 2803 34TH St Apt 2F
Astoria, NY 11103-5003 - Phone
- (718) 939-8700
- NPI assigned
- Oct 1, 2010
- Last updated
- Oct 1, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 | 020137-1 | NY | Primary |
Addresses
Primary practice location
2803 34TH St Apt 2F
Astoria, NY 11103-5003
Mailing address
2803 34TH St Apt 2F
Astoria, NY 11103-5003
Phone (718) 939-8700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Mercy College, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
14461 Roosevelt Ave
Flushing, NY 11354-6252
Phone 71893987001311
16210 Jamaica Ave
Suite 7
Jamaica, NY 11432-4923
Phone (718) 454-2700
21301 Northern Blvd
FL 2
Bayside, NY 11361-2978
Phone (718) 721-5444
3909 214TH PL
Bayside, NY 11361-2123
Phone 71822957572289
The Shield Institute
Flushing, NY 11354-6252
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 020137-1 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifespire, Inc. | Current | Accepting new patients | |
| The Shield of David, Inc. | Current | Accepting new patients | |
| Lifespire, Inc. | Current | Accepting new patients |
Locations
21301 Northern Blvd
Fl 2
Bayside, NY 11361
Phone (718) 721-5444
14461 Roosevelt Ave
Flushing, NY 11354
Phone (718) 886-1534
3909 214th Pl
Flushing, NY 11361
Phone (718) 229-5757
16210 Jamaica Ave
Ste 7
Jamaica, NY 11432
Phone (718) 454-2700
159 E 125th St
Fl 2
New York, NY 10035
Phone (212) 360-5600
Organizations & group practices 3
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.
-
- Clinic/Center
- New York, NY
- NPI 1497709166
-
- Voluntary or Charitable Agency
- Hollis, NY
- NPI 1164629788
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285891200000",
"number": "1598074023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2803 34TH ST APT 2F",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111035003",
"telephone_number": "718-939-8700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2803 34TH ST APT 2F",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111035003",
"telephone_number": "718-939-8700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALSH",
"first_name": "REBECCA",
"middle_name": "LEIGH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-10-01",
"last_updated": "2010-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "020137-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Astoria, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2010; 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.