Active NPI
Peter Rahanis, SLP
- Speech-Language Pathologist
- Mount Vernon, NY
National Provider Identifier
1871734152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 014220-1
- Practice address
- 37 Alameda PL
Mount Vernon, NY 10552-1201 - Phone
- (718) 909-5233
- NPI assigned
- Mar 16, 2009
- Sex
- Male
- 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 | 014220-1 | NY | Primary |
Addresses
Primary practice location
37 Alameda PL
Mount Vernon, NY 10552-1201
Mailing address
37 Alameda PL
Mount Vernon, NY 10552-1201
Phone (718) 909-5233
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 014220 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436918400000",
"number": "1871734152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37 ALAMEDA PL",
"city": "MOUNT VERNON",
"state": "NY",
"postal_code": "105521201",
"telephone_number": "718-909-5233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37 ALAMEDA PL",
"city": "MOUNT VERNON",
"state": "NY",
"postal_code": "105521201",
"telephone_number": "718-909-5233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAHANIS",
"first_name": "PETER",
"name_prefix": "Mr.",
"credential": "SLP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-03-16",
"last_updated": "2015-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "014220-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Vernon, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.