Individual provider Active NPI

Darryl Powe, MS.CCC-SLP

  • Speech-Language Pathologist
  • Philadelphia, PA
National Provider Identifier
1649397423
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SL-5119- L Issued in PA
Practice address
2101 Belmont Ave
Philadelphia, PA 19131-1628
Phone
(215) 878-3600
NPI assigned
Mar 25, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 SL-5119- L PA Primary

Addresses

Primary practice location

2101 Belmont Ave
Philadelphia, PA 19131-1628

Mailing address

1001 Cloister Rd
Apt. E.
Wilmington, DE 19809-1043

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
SL-5119- LPAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1174780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649397423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 CLOISTER RD",
            "address_2": "APT. E.",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198091043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 BELMONT AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191311628",
            "telephone_number": "215-878-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWE",
        "first_name": "DARRYL",
        "name_prefix": "Mr.",
        "credential": "MS.CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL-5119- L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.