Individual provider Active NPI

John Talley, M.S., CCC-SLP/L

  • Speech-Language Pathologist
  • Allentown, PA
National Provider Identifier
1932501285
Registry record updated Sep 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SL011349 Issued in PA
Practice address
850 S 5TH St
Allentown, PA 18103-3308
Phone
(610) 776-3578
NPI assigned
Sep 18, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2014

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 SL011349 PA Primary

Addresses

Primary practice location

850 S 5TH St
Allentown, PA 18103-3308

Mailing address

850 S 5TH St
Allentown, PA 18103-3308
Phone (610) 776-3578

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230221000327 PA Practitioner - Qualified Speech Language Pathologist 1658743695 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SL011349PAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
High Falls Speech Therapy Center LLC CurrentSince May 19, 2023 Accepting new patients

Locations

8 Silk Mill Dr
Ste 204
Hawley, PA 18428
Phone (201) 231-2445

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1410998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410998400000",
    "number": "1932501285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 S 5TH ST",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181033308",
            "telephone_number": "610-776-3578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 S 5TH ST",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181033308",
            "telephone_number": "610-776-3578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALLEY",
        "first_name": "JOHN",
        "credential": "M.S., CCC-SLP/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-18",
        "last_updated": "2014-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL011349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2014; 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.