Individual provider Active NPI

Julie M. Pera, MA CCC-SLP

  • Speech-Language Pathologist
  • Gardner, MA
National Provider Identifier
1740847987
Registry record updated May 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
5411 Issued in MA
Practice address
24 Lovewell St
Gardner, MA 01440-3525
Phone
(978) 212-9663
NPI assigned
May 23, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2019

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 5411 MA Primary

Addresses

Primary practice location

24 Lovewell St
Gardner, MA 01440-3525

Mailing address

24 Lovewell St
Gardner, MA 01440-3525
Phone (978) 212-9663

Other practice location 1

567 Pearl St
Gardner, MA 01440-1715
Phone (978) 632-4432

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
5411MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Many Gifts Speech & Language Therapy Speech-Language Pathologist CurrentSince Jul 23, 2023 Accepting new patients

Locations

66 Elm St
Gardner, MA 01440
Phone (978) 212-9663

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1558569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558569600000",
    "number": "1740847987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 LOVEWELL ST",
            "city": "GARDNER",
            "state": "MA",
            "postal_code": "014403525",
            "telephone_number": "978-212-9663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 LOVEWELL ST",
            "city": "GARDNER",
            "state": "MA",
            "postal_code": "014403525",
            "telephone_number": "978-212-9663"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "567 Pearl St",
            "address_purpose": "LOCATION",
            "city": "Gardner",
            "state": "MA",
            "postal_code": "014401715",
            "country_code": "US",
            "telephone_number": "978-632-4432",
            "fax_number": "978-632-6022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERA",
        "first_name": "JULIE",
        "middle_name": "M.",
        "credential": "MA CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-23",
        "last_updated": "2019-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "5411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardner, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2019; 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.