Abby Rea, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

710100765 Issued in MI

Practice address

1509 S State Rd Ste E
Davison, MI 48423-1966

Phone

(810) 412-4183

Fax

(810) 309-8635

NPI assigned

Jun 19, 2023

Last updated

Jun 19, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Humpz LLC

  dba Thrive Therapy Centers

  • Speech-Language Pathologist
  • Davison, MI
  • NPI 1366028490
  NPD
• Pco PC

  dba Burton Vision Center

  • Optometrist
  • Davison, MI
  • NPI 1114082047
  NPD (past)

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

{
    "created_epoch": "1687132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687132800000",
    "number": "1609551514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 S STATE RD STE E",
            "city": "DAVISON",
            "state": "MI",
            "postal_code": "484231966",
            "telephone_number": "810-412-4183",
            "fax_number": "810-309-8635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 S STATE RD STE E",
            "city": "DAVISON",
            "state": "MI",
            "postal_code": "484231966",
            "telephone_number": "810-412-4183",
            "fax_number": "810-309-8635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REA",
        "first_name": "ABBY",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-19",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "710100765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Puresight Eyecare PC (Dry Eye Care of Michigan)
• Rehana Qadir, MD
• Monika Qafko
• Datrice Leshay Randall
• Steven M Rapaich
• Real Ear Inc (Miracle Ear Hearing)
• Reliahealth LLC (Reliahealth Home Care LLC)
• Reliant Renal Care - Davison, LLC (RRC Davison)
• Reliant Renal Care - Home, LLC (Fresenius Kidney Care - Davison Home)
• Renal Treatment Centers-Illinois Inc (Davison Dialysis)

• Speech-Language Pathologist in Davison, MI
• Providers in Davison, MI by specialty
• Speech-Language Pathologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.