Individual provider Active NPI

Taylor Bilbao

  • Speech-Language Pathologist
  • Reading, PA
National Provider Identifier
1689410086
Registry record updated Jul 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SL017723 Issued in PA
Practice address
2851 Centre Ave
Reading, PA 19605-2567
Phone
(610) 750-6514
NPI assigned
Jul 4, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 4, 2024

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 SL017723 PA Primary

Addresses

Primary practice location

2851 Centre Ave
Reading, PA 19605-2567

Mailing address

131 Norway Dr
Mohnton, PA 19540-8743

Other practice location 1

131 Norway Dr
Mohnton, PA 19540-8743
Phone (484) 332-3030

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
SL017723PAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1720051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720051200000",
    "number": "1689410086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 NORWAY DR",
            "city": "MOHNTON",
            "state": "PA",
            "postal_code": "195408743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2851 CENTRE AVE",
            "city": "READING",
            "state": "PA",
            "postal_code": "196052567",
            "telephone_number": "610-750-6514"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "131 Norway Dr",
            "address_purpose": "LOCATION",
            "city": "Mohnton",
            "state": "PA",
            "postal_code": "195408743",
            "country_code": "US",
            "telephone_number": "484-332-3030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BILBAO",
        "first_name": "TAYLOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-04",
        "last_updated": "2024-07-04",
        "certification_date": "2024-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL017723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reading, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2024; 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.