Active NPI
Kayla R Codispoti, SPEECH THERAPIST
- Speech-Language Pathologist
- Whitehall, OH
National Provider Identifier
1952547960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 09269
- Practice address
- 4738 Kae Ave
Whitehall, OH 43213-6100 - Phone
- (614) 417-5217
- NPI assigned
- Dec 22, 2008
- Sex
- Female
- 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 | 09269 | OH | Primary |
Addresses
Primary practice location
4738 Kae Ave
Whitehall, OH 43213-6100
Mailing address
4738 Kae Ave
Whitehall, OH 43213-6100
Phone (614) 417-5217
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0094740 | Medicaid | OH |
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 |
|---|---|---|---|
| 09269 | OH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550707200000",
"number": "1952547960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4738 KAE AVE",
"city": "WHITEHALL",
"state": "OH",
"postal_code": "432136100",
"telephone_number": "614-417-5217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4738 KAE AVE",
"city": "WHITEHALL",
"state": "OH",
"postal_code": "432136100",
"telephone_number": "614-417-5217"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CODISPOTI",
"first_name": "KAYLA",
"middle_name": "R",
"credential": "SPEECH THERAPIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-12-22",
"last_updated": "2019-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OH",
"license": "09269",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0094740",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Whitehall, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.