Individual provider Active NPI

Jasmine Thompson

  • Speech-Language Pathologist
  • Indiana, PA
National Provider Identifier
1639742307
Registry record updated Dec 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SL016736 Issued in PA
Practice address
270 Philadelphia St
Indiana, PA 15701-2052
Phone
(724) 349-5070
Fax
(724) 349-8368
NPI assigned
Jul 21, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2022

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 SL016736 PA Primary

Addresses

Primary practice location

270 Philadelphia St
Indiana, PA 15701-2052

Mailing address

1015 Pennsylvania Ave
Irwin, PA 15642-3737
Phone (866) 287-2036

Other identifiers 1

IdentifierTypeStateIssuer
SL016736OtherPASPEECH LANGUAGE PATHOLOGY LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SL016736PAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Stronger Day Rehabiliation & Management Company Speech-Language Pathologist CurrentSince Dec 18, 2022 Accepting new patients

Locations

270 Philadelphia St
Indiana, PA 15701
Phone (724) 349-5070

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1626825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671148800000",
    "number": "1639742307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 PENNSYLVANIA AVE",
            "city": "IRWIN",
            "state": "PA",
            "postal_code": "156423737",
            "telephone_number": "866-287-2036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 PHILADELPHIA ST",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157012052",
            "telephone_number": "724-349-5070",
            "fax_number": "724-349-8368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "JASMINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-21",
        "last_updated": "2022-12-16",
        "certification_date": "2022-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL016736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPEECH LANGUAGE PATHOLOGY LICENSE",
            "identifier": "SL016736",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indiana, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2022; 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.