Individual provider Active NPI

Rebecca Ann Giambra, MA, CCC-SLP

  • Speech-Language Pathologist
  • Brocton, NY
National Provider Identifier
1710019971
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
015555-1 Issued in NY
Practice address
9356 S Swede Rd
Brocton, NY 14716-9612
Phone
(605) 767-0586
NPI assigned
Mar 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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 015555-1 NY Primary

Addresses

Primary practice location

9356 S Swede Rd
Brocton, NY 14716-9612

Mailing address

9356 S Swede Rd
Brocton, NY 14716-9612
Phone (605) 767-0586

Other identifiers 1

IdentifierTypeStateIssuer
235Z00000XMedicaidNY

Other names 1

  • Rebecca Ann Young Former name

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
015555-1NYMDSpeech-Language Pathologist
108034TXMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1710019971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9356 S SWEDE RD",
            "city": "BROCTON",
            "state": "NY",
            "postal_code": "147169612",
            "telephone_number": "605-767-0586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9356 S SWEDE RD",
            "city": "BROCTON",
            "state": "NY",
            "postal_code": "147169612",
            "telephone_number": "605-767-0586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIAMBRA",
        "first_name": "REBECCA",
        "middle_name": "ANN",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "015555-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "235Z00000X",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "YOUNG",
            "middle_name": "ANN",
            "credential": "MA, CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Brocton, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; 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.