Rebecca Lynne Wadsworth

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

SLPA12867 Issued in AZ

Practice address

854 E Williams Field Rd Ste 105
Gilbert, AZ 85295-0703

Phone

(480) 398-4280

Fax

(480) 398-4281

NPI assigned

Mar 1, 2021

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 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Piller Child Development LLC

  • Pediatric Occupational Therapist
  • Phoenix, AZ
  • NPI 1497087621
  NPD (past)

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

{
    "created_epoch": "1614556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614556800000",
    "number": "1699369793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50218",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850760218",
            "telephone_number": "480-398-4280",
            "fax_number": "480-398-4281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "854 E WILLIAMS FIELD RD STE 105",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852950703",
            "telephone_number": "480-398-4280",
            "fax_number": "480-398-4281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADSWORTH",
        "first_name": "REBECCA",
        "middle_name": "LYNNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-01",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "AZ",
            "license": "SLPA12867",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500165",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Rebecca.wadsworth@pillerchilddevelopment.com",
            "affiliation": "N",
            "address_1": "854 E Williams Field Rd Ste 105",
            "city": "Gilbert",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852950703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Randy Vu, DO
• Neil Vyas, MD
• Brittney Ann Wade, L.M.T
• Mariah Kalon Scott Wade
• Michael Garth Wade, M.D.
• Devendra G Wadwekar, MD
• Saudamini Devendra Wadwekar, M.D.
• Ashwin Waghray, RPH.M.B.A
• Carolyn Renee Wagner Von Hoff, PA-C
• Stella Dong Wagner, DDS

• Speech-Language Assistant in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Speech-Language Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2021; 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.