Organization Active NPI

Early Speech Pro LLC

  • Speech-Language Pathologist
  • Leesburg, VA
National Provider Identifier
1629781844
Registry record updated Jan 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
EARLY SPEECH PRO LLC
Practice address
25 Catoctin Cir SE Unit 4042
Leesburg, VA 20175-3625
Phone
(703) 261-9283
NPI assigned
Jan 3, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2023

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

Authorized official

Name
Sheeba Rachel Koshy, SLP, MS CCCNPI 1538319371
Title
Speech and Language Pathologist
Phone
(845) 206-8666

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

25 Catoctin Cir SE Unit 4042
Leesburg, VA 20175-3625

Mailing address

25 Catoctin Cir SE Unit 4042
Leesburg, VA 20175-3625
Phone (703) 261-9283

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1672704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672704000000",
    "number": "1629781844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 CATOCTIN CIR SE UNIT 4042",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201753625",
            "telephone_number": "703-261-9283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 CATOCTIN CIR SE UNIT 4042",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201753625",
            "telephone_number": "703-261-9283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EARLY SPEECH PRO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-03",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A",
        "authorized_official_last_name": "KOSHY",
        "authorized_official_first_name": "SHEEBA",
        "authorized_official_middle_name": "RACHEL",
        "authorized_official_title_or_position": "SPEECH AND LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "845-206-8666",
        "authorized_official_credential": "SLP, MS CCC"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.