Active NPI
Rezia Luke, SLP-CCC/ TSSLD
- Speech-Language Pathologist
- Brooklyn, NY
National Provider Identifier
1942565726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 023370-1
- Practice address
- 495 Flatbush Ave Ste 21
Brooklyn, NY 11225 - Phone
- (877) 585-0047
- NPI assigned
- Jul 9, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech/Language/Hearing Specialist/Technologist | 235500000X | 600142121 | NY | |
| Speech-Language Pathologist | 235Z00000X | 023370-1 | NY | Primary |
Addresses
Primary practice location
495 Flatbush Ave Ste 21
Brooklyn, NY 11225
Mailing address
PO Box 30387
Brooklyn, NY 11203-0387
Phone (718) 913-3494
Other practice location 1
2555 Nostrand Ave
Brooklyn, NY 11210-4730
Phone (718) 986-9306
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 |
|---|---|---|---|
| 600142121 | NY | MD | Speech/Language/Hearing Specialist/Technologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dynamic Therapeutic Care SLP PLLC | Speech-Language Pathologist | Past | Accepting new patients |
| Proactive Occupational Therapy PC | Past | Accepting new patients | |
| Hands on OT PLLC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Speech-Language Pathologist
- Brooklyn, NY
- NPI 1750864435
-
- Occupational Therapist
- Brooklyn, NY
- NPI 1740768209
-
- Occupational Therapist
- Brooklyn, NY
- NPI 1710383930
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536710400000",
"number": "1942565726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 30387",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112030387",
"telephone_number": "718-913-3494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "495 FLATBUSH AVE STE 21",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11225",
"telephone_number": "877-585-0047"
}
],
"practiceLocations": [
{
"address_1": "2555 Nostrand Ave",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112104730",
"country_code": "US",
"telephone_number": "718-986-9306",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LUKE",
"first_name": "REZIA",
"name_prefix": "Ms.",
"credential": "SLP-CCC/ TSSLD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-09",
"last_updated": "2018-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "235500000X",
"taxonomy_group": "",
"desc": "Specialist/Technologist",
"state": "NY",
"license": "600142121",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "023370-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.