Josephine Reale

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2015035617 Issued in MO

Practice address

4290 Gravois Rd
House Springs, MO 63051-2301

Phone

(636) 677-3473

Fax

(314) 588-1343

NPI assigned

Dec 3, 2015

Last updated

Apr 1, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Josephine Berberich Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1449100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1841665767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4290 GRAVOIS RD",
            "city": "HOUSE SPRINGS",
            "state": "MO",
            "postal_code": "630512301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4290 GRAVOIS RD",
            "city": "HOUSE SPRINGS",
            "state": "MO",
            "postal_code": "630512301",
            "telephone_number": "636-677-3473",
            "fax_number": "314-588-1343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REALE",
        "first_name": "JOSEPHINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-03",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2015035617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOSEPHINE",
            "last_name": "BERBERICH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kelly Miller
• Rebecca Rea O'Reilly, RPH
• Stefani Poelker, LCSW
• Prorehab, PC (Athletico Physical Therapy)
• Charles Robert Purdy Jr., RN
• Rehab Missouri, LLC. (Rehab Xcel)
• Amanda Rideout
• Leon Romaine, O.D.
• Kenneth Earl Ross, DO
• Stacey Ann Roth, LPC

• Speech-Language Pathologist in House Springs, MO
• Providers in House Springs, MO by specialty
• Speech-Language Pathologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; 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.