Active NPI
Heather Penso
- Speech-Language Pathologist
- New Philadelphia, OH
National Provider Identifier
1801297015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP9633
- Practice address
- 245 S Broadway St
New Philadelphia, OH 44663-3842 - Phone
- (888) 908-1258
- NPI assigned
- Sep 7, 2014
- Last updated
- Sep 7, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP9633 | OH | Primary |
Addresses
Primary practice location
245 S Broadway St
New Philadelphia, OH 44663-3842
Mailing address
262 Schoenbrunn Dr NE
New Philadelphia, OH 44663-3275
Phone (330) 204-6909
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP9633 | OH | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410048000000",
"number": "1801297015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "262 SCHOENBRUNN DR NE",
"city": "NEW PHILADELPHIA",
"state": "OH",
"postal_code": "446633275",
"telephone_number": "330-204-6909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "245 S BROADWAY ST",
"city": "NEW PHILADELPHIA",
"state": "OH",
"postal_code": "446633842",
"telephone_number": "888-908-1258"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENSO",
"first_name": "HEATHER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-09-07",
"last_updated": "2014-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OH",
"license": "SP9633",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Philadelphia, OH
- Sejal Satish Patel, DMD
- Rebecca Patton, LSW
- Leesha Paulus, APRN
- Leyla N Pellicier-Quinones, QMHS CMS
- Erin M Peltz, CDCA
- Personal & Family Counseling Services of Tuscarawas Valley Inc
- Personal & Family Counseling Services of Tuscarawas Valley, Inc
- Philly Pharmacy Inc (Medicine Center Pharmacy)
- Chelsea Pisorn, SLP
- Jeremy R Portmann, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.