Individual provider Active NPI

Emily Landuyt, M.S., TSSLD, CF

  • Speech-Language Pathologist
  • Ithaca, NY
National Provider Identifier
1962013706
Registry record updated Aug 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
225 S Fulton St Ste D
Ithaca, NY 14850-3344
Phone
(607) 437-0141
NPI assigned
Aug 14, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2020

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 NY Primary

Addresses

Primary practice location

225 S Fulton St Ste D
Ithaca, NY 14850-3344

Mailing address

75 Midline Rd
Slaterville Springs, NY 14881-9401
Phone (315) 573-8715

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
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Gorge Falls Therapy SLP, OT, PLLC PastSince Aug 23, 2020 Accepting new patients
Gorge Falls Therapy SLP, OT, PLLC Speech-Language Pathologist PastSince Aug 23, 2020 Accepting new patients

Organizations & group practices 2

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": "1597363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597536000000",
    "number": "1962013706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 MIDLINE RD",
            "city": "SLATERVILLE SPRINGS",
            "state": "NY",
            "postal_code": "148819401",
            "telephone_number": "315-573-8715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 S FULTON ST STE D",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148503344",
            "telephone_number": "607-437-0141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDUYT",
        "first_name": "EMILY",
        "credential": "M.S., TSSLD, CF",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-14",
        "last_updated": "2020-08-16",
        "certification_date": "2020-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ithaca, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.