Active NPI
Emily Gavin Rastatter, MACCC-SLP/L
- Speech-Language Pathologist
- Cranberry TWP, PA
National Provider Identifier
1932461076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 5077
- Practice address
- 20397 Route 19
Suite 30
Cranberry TWP., PA 16066-6102 - Phone
- (855) 877-7332
- Fax
- (866) 343-1410
- NPI assigned
- Jun 14, 2012
- Last updated
- Mar 24, 2017
- Sex
- Female
- Sole proprietor
- No
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 | 5077 | SC | Primary |
Addresses
Primary practice location
20397 Route 19
Suite 30
Cranberry TWP., PA 16066-6102
Mailing address
2400 Darlington Rd
Beaver Falls, PA 15010-1305
Phone (724) 846-8255
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5077 | SC | MD | Pediatric Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Root to Bloom Treatment LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Talktime Speech Therapy, LLC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Speech-Language Pathologist
- New Brighton, PA
- NPI 1356149231
-
- Clinic/Center
- Beaver Falls, PA
- NPI 1255570438
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490313600000",
"number": "1932461076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2400 DARLINGTON RD",
"city": "BEAVER FALLS",
"state": "PA",
"postal_code": "150101305",
"telephone_number": "724-846-8255",
"fax_number": "724-647-1232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20397 ROUTE 19",
"address_2": "SUITE 30",
"city": "CRANBERRY TWP.",
"state": "PA",
"postal_code": "160666102",
"telephone_number": "855-877-7332",
"fax_number": "866-343-1410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RASTATTER",
"first_name": "EMILY",
"middle_name": "GAVIN",
"name_prefix": "Ms.",
"credential": "MACCC-SLP/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-14",
"last_updated": "2017-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "SC",
"license": "5077",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cranberry TWP, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.