Individual provider Active NPI

Tia Ruefle

  • Speech-Language Pathologist
  • Upper Saint Clair, PA
National Provider Identifier
1861075756
Registry record updated Apr 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SL014516 Issued in PA
Practice address
1580 McLaughlin Run Rd Ste 216
Upper Saint Clair, PA 15241-3100
Phone
(412) 407-3539
NPI assigned
Apr 29, 2021
Last updated
Apr 29, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SL014516 PA Primary

Addresses

Primary practice location

1580 McLaughlin Run Rd Ste 216
Upper Saint Clair, PA 15241-3100

Mailing address

339 S Fairmount St
Pittsburgh, PA 15232-1024
Phone (412) 758-3705

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL tiar@pediatrictherapysource.com Direct

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

LicenseStateTypeSpecialty
SL014516PAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1619654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619654400000",
    "number": "1861075756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "339 S FAIRMOUNT ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152321024",
            "telephone_number": "412-758-3705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 MCLAUGHLIN RUN RD STE 216",
            "city": "UPPER SAINT CLAIR",
            "state": "PA",
            "postal_code": "152413100",
            "telephone_number": "412-407-3539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUEFLE",
        "first_name": "TIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-29",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL014516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "tiar@pediatrictherapysource.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "1580 McLaughlin Run Rd Ste 216",
            "city": "Upper Saint Clair",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152413100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Upper Saint Clair, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2021; 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.