Organization Active NPI

Medley & Mesaric Therapy Assiciates, LLC

  • Speech-Language Pathologist
  • Fort Washington, PA
National Provider Identifier
1700193802
Registry record updated Sep 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SL008160 Issued in PA
Legal business name
MEDLEY & MESARIC THERAPY ASSICIATES, LLC
Practice address
449 Pennsylvania Ave
Fort Washington, PA 19034-3414
Phone
(215) 643-5585
NPI assigned
Sep 10, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2010

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

Authorized official

Name
Ms. Janice L Mesaric, M.S., CCC-SLPNPI 1619284726
Title
Co-Director
Phone
(215) 643-5585

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X SL008160 PA Primary

Addresses

Primary practice location

449 Pennsylvania Ave
Fort Washington, PA 19034-3414

Mailing address

449 Pennsylvania Ave
Fort Washington, PA 19034-3414
Phone (215) 643-5585

National Provider Directory

National Provider Directory

Locations

449 Pennsylvania Ave
Ft Washington, PA 19034
Phone (215) 643-5585

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1284076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284076800000",
    "number": "1700193802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "449 PENNSYLVANIA AVE",
            "city": "FORT WASHINGTON",
            "state": "PA",
            "postal_code": "190343414",
            "telephone_number": "215-643-5585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "449 PENNSYLVANIA AVE",
            "city": "FORT WASHINGTON",
            "state": "PA",
            "postal_code": "190343414",
            "telephone_number": "215-643-5585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDLEY & MESARIC THERAPY ASSICIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-10",
        "last_updated": "2010-09-10",
        "status": "A",
        "authorized_official_last_name": "MESARIC",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CO-DIRECTOR",
        "authorized_official_telephone_number": "215-643-5585",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL008160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Washington, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2010; 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.