Sarah Pendergast

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL008877 Issued in PA

Practice address

215 Upland Rd
Merion Station, PA 19066-1821

Phone

(267) 241-3632

NPI assigned

Mar 11, 2008

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

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 and National Provider Directory roles.

• Kutest Kids Early Intervention Co.

  • Occupational Therapist
  • Philadelphia, PA
  • NPI 1922279835

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1205193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208390400000",
    "number": "1790955276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6432 OAKLEY ST",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191115250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 UPLAND RD",
            "city": "MERION STATION",
            "state": "PA",
            "postal_code": "190661821",
            "telephone_number": "267-241-3632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENDERGAST",
        "first_name": "SARAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-11",
        "last_updated": "2008-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL008877",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1021005720001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stefanie Odett
• Cecilia Olugbade-Oseyemi, M.D.
• Zahra Ortiz
• Oxygenworks Inc
• William Dewitt Parry, CCC-SLP
• Robert D Polishook, M.D.
• Joan F Pollak, LCSW
• Paul J. Potesta, PH.D.
• Julianne Norah Powis, CNM
• Catalino Gomez Punzalan Jr., M.D.

• Speech-Language Pathologist in Merion Station, PA
• Providers in Merion Station, 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 Apr 17, 2008; 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.