Monica J Tisone

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP3953 Issued in OH

Practice address

Telemedicine Services
791 Mansell Dr
Youngstown, OH 44505-4450

Phone

(330) 717-1375

NPI assigned

Jul 16, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Great Therapy Group LLC

  • Speech-Language Pathologist
  • Hollywood, FL
  • NPI 1568886471
  Medicare reassignment NPD

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

{
    "created_epoch": "1216166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605830400000",
    "number": "1639333966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "791 MANSELL DR",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445052236",
            "telephone_number": "330-717-1375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TELEMEDICINE SERVICES",
            "address_2": "791 MANSELL DR",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445054450",
            "telephone_number": "330-717-1375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TISONE",
        "first_name": "MONICA",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-16",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP3953",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL MUTUAL",
            "identifier": "$$$$$$$$$",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11738251",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brett Paul Tillery
• Joseph S Timko, LSW
• Brooke Timm, CDCA
• Shermere Tindell
• Tippecanoe Endoscopy Inc
• Bethany Grace Tittle, CNP
• Giavanna M Tkach, BSN RN
• TLM Residential Services
• Jonathan Tobin
• Emily Tocco

• Speech-Language Pathologist in Youngstown, OH
• Providers in Youngstown, OH by specialty
• Speech-Language Pathologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.