Rachel Pustulka, MA, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

5058 Issued in OH

Practice address

1808 W 30TH St
Lorain, OH 44052-4309

Phone

(440) 282-3860

Fax

(440) 282-3860

NPI assigned

May 25, 2009

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

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• At Home by Enhance Therapies LLC

  • Physical Therapist
  • Lakewood, NJ
  • NPI 1124603246

  OH, Speech-Language Pathologist

  Medicare reassignment NPD
• Tender Touch at Home NJ LLC

  • Physical Therapist
  • Lakewood, NJ
  • NPI 1184265944
  NPD (past)

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

{
    "created_epoch": "1243209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243209600000",
    "number": "1861627556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1808 W 30TH ST",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440524309",
            "telephone_number": "440-282-3860",
            "fax_number": "440-282-3860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1808 W 30TH ST",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440524309",
            "telephone_number": "440-282-3860",
            "fax_number": "440-282-3860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUSTULKA",
        "first_name": "RACHEL",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-25",
        "last_updated": "2009-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "5058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Necola Pruchinsky
• Julie Anne Pruneski, D.D.S
• Monica Pryor
• Gabrielle Puka
• Eric Z Purcel
• Betty Joanne Quattlebaum, L.P.N.
• Renato De Paz Querubin, MD
• Quiet Pines Counseling LLC
• Claribel Quiles, LISW
• Jeramey Quinn

• Speech-Language Pathologist in Lorain, OH
• Providers in Lorain, OH by specialty
• Speech-Language Pathologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2009; 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.

Verify at the official NPI Registry.