Individual provider Active NPI

Jillian Lee Korb, CCC-SLP

  • Speech-Language Pathologist
  • Medford, MA
National Provider Identifier
1952575169
Registry record updated Jan 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
7532 Issued in MA
Practice address
11 Schoolhouse Rd
Medford, MA 02155-3711
Phone
(617) 816-2746
NPI assigned
Apr 17, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2018

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 7532 MA Primary

Addresses

Primary practice location

11 Schoolhouse Rd
Medford, MA 02155-3711

Mailing address

11 Schoolhouse Rd
Medford, MA 02155-3711

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, MA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250916004255 NY Practitioner - Qualified Speech Language Pathologist 5092219790 Reassigns benefits to 1 organization
I20260203001241 MA Practitioner - Qualified Speech Language Pathologist 5092219790 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Expressable Therapy PCGroup PAC ID 0042698136, 67 clinicians

Practice addresses (Care Compare)

300 Baker Ave
Suite 300
Concord, MA 01742-2124
Phone (512) 399-0064

99 Hudson St
FL 5
New York, NY 10013-2993
Phone (512) 399-0064

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7532MAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Expressable Therapy PC Speech-Language Pathologist CurrentSince Oct 6, 2025 Accepting new patients

Locations

300 Baker Ave
Ste 300
Concord, MA 01742
Phone (864) 336-2731

99 Hudson St
Fl 5
New York, NY 10013
Phone (646) 301-2578

7600 Chevy Chase Dr
Ste 300
Austin, TX 78752
Phone (512) 318-2503

7600 Chevy Chase Dr
Austin, TX 78752
Phone (512) 649-3880

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": "1208390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517356800000",
    "number": "1952575169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 SCHOOLHOUSE RD",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021553711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 SCHOOLHOUSE RD",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021553711",
            "telephone_number": "617-816-2746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORB",
        "first_name": "JILLIAN",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-17",
        "last_updated": "2018-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "7532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.