Melissa Sue Pore, CCC/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL010282 Issued in PA

Practice address

21158 Paint Blvd
Shippenville, PA 16254-4024

Phone

(814) 227-9166

NPI assigned

Jul 24, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in PA, CA, NV, CO4 enrollments

Enrollment records 4

Specialty

Qualified Speech Language Pathologist

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Slptele LLCGroup PAC ID 5395163174, 84 clinicians

All Care Physical Therapy, PCGroup PAC ID 5890972335, 174 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations (25 of 26)

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.

• All Care Physical Therapy, P.C.

  • Physical Therapist
  • Woodland Hills, CA
  • NPI 1104120385

  CA, Speech-Language Pathologist

  Medicare reassignment Care Compare group NPD
• Slptele LLC

  • Speech-Language Pathologist
  • Las Vegas, NV
  • NPI 1497393557

  CA, NV, Speech-Language Pathologist

  Medicare reassignment Care Compare group NPD
• Advanced Dysphagia Diagnostics LLC

  • Speech-Language Pathologist
  • Montrose, CO
  • NPI 1194181206

  CO, PA, Speech-Language Pathologist

  Medicare reassignment NPD
• Advanced Dysphagia Diagnostics LLC

  • Speech-Language Pathologist
  • Montrose, CO
  • NPI 1366216368
  NPD
• Advanced Dysphagia Diagnostics LLC

  • Speech-Language Pathologist
  • Shippenville, PA
  • NPI 1891339156
  NPD (past)
• Seersoft

  • Physical Therapist
  • Granada Hills, CA
  • NPI 1790928901
  NPD (past)
• Therapy Blocks L.L.C.

  • Occupational Therapist
  • Las Vegas, NV
  • NPI 1346739562

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1374624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485734400000",
    "number": "1679915201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 MAIN ST",
            "city": "SHIPPENVILLE",
            "state": "PA",
            "postal_code": "162543906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21158 PAINT BLVD",
            "city": "SHIPPENVILLE",
            "state": "PA",
            "postal_code": "162544024",
            "telephone_number": "814-227-9166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORE",
        "first_name": "MELISSA",
        "middle_name": "SUE",
        "credential": "CCC/SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-24",
        "last_updated": "2017-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "08367",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP.11826",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "025845-1",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL010282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenton Vaughn Long, D.O.
• Brenda Arlene Manno, MSW LSW
• Mistyisle Bridge. Inc
• Derek Francis Oberlander
• Jennifer Pappas
• Project Starphish
• Qpharma Inc
• Shippenville Elk Township Volunt
• Shippenville PA Opco LLC
• Shippenville Project Point of Light, Inc Dba Manno Therapeutic Service

• All providers in Shippenville, PA
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.