Abigail Erin Reilly-Eckstrom, MA CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL016790 Issued in PA

Practice address

105 Wellington St
North East, PA 16428-1713

Phone

(814) 323-9671

NPI assigned

Jul 11, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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 and National Provider Directory roles.

• Speecherie LLC

  • Speech-Language Pathologist
  • Erie, PA
  • NPI 1174478143
  NPD Authorized official

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

{
    "created_epoch": "1720656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1750128153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 WELLINGTON ST",
            "city": "NORTH EAST",
            "state": "PA",
            "postal_code": "164281713",
            "telephone_number": "814-323-9671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 WELLINGTON ST",
            "city": "NORTH EAST",
            "state": "PA",
            "postal_code": "164281713",
            "telephone_number": "814-323-9671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REILLY-ECKSTROM",
        "first_name": "ABIGAIL",
        "middle_name": "ERIN",
        "name_prefix": "Mrs.",
        "credential": "MA CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-11",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "RI",
            "license": "SP01752",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL016790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald J Potocki Jr., LPN
• Mollie Rafferty, DPT
• Regional Associates in Behavior Analysis, LLC
• Regional Health Services Inc (Vineyard Primary Care)
• Regional Health Services, Inc. (Vineyard Primary Care)
• Richard A Rose
• Christine M Russell, PT
• Brianna Jean Scalise
• Alexandra Sceiford
• Richard Lee Schaffnit, D.C.

• Speech-Language Pathologist in North East, PA
• Providers in North East, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.