Active NPI
Lyla Rose Buzila
- Speech-Language Pathologist
- Canonsburg, PA
National Provider Identifier
1831935899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SL017814
- Practice address
- 1159 Bayberry Dr
Canonsburg, PA 15317-4992 - Phone
- (724) 705-4311
- NPI assigned
- Jul 8, 2024
- 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 | SL017814 | PA | Primary |
Addresses
Primary practice location
1159 Bayberry Dr
Canonsburg, PA 15317-4992
Mailing address
1159 Bayberry Dr
Canonsburg, PA 15317-4992
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240722000455 | PA | Practitioner - Qualified Speech Language Pathologist | 7012453558 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neuroaxis Rehabilitation Services | Current | Accepting new patients | |
| Neuroaxis Rehabilitation Services | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Therapy Clinic/Center
- Canonsburg, PA
- NPI 1063172807
-
- Professional Counselor
- Canonsburg, PA
- NPI 1316887920
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720396800000",
"number": "1831935899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1159 BAYBERRY DR",
"city": "CANONSBURG",
"state": "PA",
"postal_code": "153174992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1159 BAYBERRY DR",
"city": "CANONSBURG",
"state": "PA",
"postal_code": "153174992",
"telephone_number": "724-705-4311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUZILA",
"first_name": "LYLA ROSE",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-07-08",
"last_updated": "2024-07-08",
"certification_date": "2024-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PA",
"license": "SL017814",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canonsburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.