Active NPI
Jillian Lee Korb, CCC-SLP
- Speech-Language Pathologist
- Medford, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 7532
- 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
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 | 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, MA
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 7532 | MA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Expressable Therapy PC | Speech-Language Pathologist | Current | 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.