Theralympic Speech Therapy Pllc - Medicare in Ronkonkoma, NY

Theralympic Speech Therapy Pllc is a medicare enrolled "Early Intervention Provider Agency" provider in Ronkonkoma, New York. Their current practice location is 622 Hawkins Ave, Ronkonkoma, New York. You can reach out to their office (for appointments etc.) via phone at (631) 240-3579.

Theralympic Speech Therapy Pllc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Theralympic Speech Therapy Pllc is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1730665043.

Contact Information

Theralympic Speech Therapy Pllc
622 Hawkins Ave,
Ronkonkoma, NY 11779-2374
(631) 240-3579
(631) 979-7444

Map and Direction




Healthcare Provider's Profile

Full NameTheralympic Speech Therapy Pllc
TypeFacility
SpecialityEarly Intervention Provider Agency
Location622 Hawkins Ave, Ronkonkoma, New York
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1730665043
  • Provider Enumeration Date: 07/19/2018
  • Last Update Date: 09/09/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 8325378102
  • Enrollment ID: O20190920000634

Medical Identifiers

Medical identifiers for Theralympic Speech Therapy Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1730665043NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
235Z00000XSpeech-language Pathologist 025056 (New York)Secondary
252Y00000XEarly Intervention Provider Agency (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Theralympic Speech Therapy Pllc acts as a billing entity for following providers:
Provider NameChristiana Neophytou
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1538561782
PECOS PAC ID: 1759611536
Enrollment ID: I20191004000705
Provider NameStephanie L Montano
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1417100983
PECOS PAC ID: 4587994363
Enrollment ID: I20191204000825
Provider NameRichard Lance Whalley
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1215556428
PECOS PAC ID: 2961825955
Enrollment ID: I20200709001459
Provider NameCassidy Comerford
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1306322748
PECOS PAC ID: 7416375027
Enrollment ID: I20200915000265
Provider NameAshley Rose Waldvogel
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1629550991
PECOS PAC ID: 7416367586
Enrollment ID: I20201030000126
Provider NameJessica Hanna
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1407258734
PECOS PAC ID: 0446640551
Enrollment ID: I20211203002304
Provider NameAmanda Namendorf
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1073260089
PECOS PAC ID: 8325435621
Enrollment ID: I20220504001814
Provider NameDanielle Williams
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1962040295
PECOS PAC ID: 5092194969
Enrollment ID: I20220623000976
Provider NameMichael A Caputo
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1467043612
PECOS PAC ID: 6709260771
Enrollment ID: I20220825002387
Provider NameHelen Papapostolou
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1629367818
PECOS PAC ID: 7517338890
Enrollment ID: I20230124002831
Provider NameEmily Sterber
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1881373157
PECOS PAC ID: 1658816004
Enrollment ID: I20240710003306
Provider NameAshley S Joseph
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1134895881
PECOS PAC ID: 8022553981
Enrollment ID: I20240716000272
Provider NameNicholas Quod
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1336757251
PECOS PAC ID: 1850837329
Enrollment ID: I20240719002476
Provider NameNicolas Rasmussen
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1124666292
PECOS PAC ID: 3870039134
Enrollment ID: I20240723000976
Provider NameNicole Fae Feeley
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1477290088
PECOS PAC ID: 4183160005
Enrollment ID: I20240726001510
Provider NameLaura Marie Blanco
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1427622034
PECOS PAC ID: 6507303146
Enrollment ID: I20240801000196
Provider NameKaitlin Camille Dimartino
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1326628827
PECOS PAC ID: 4284171760
Enrollment ID: I20240801002122
Provider NameCassandra Leigh Themann
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1861027062
PECOS PAC ID: 2668919044
Enrollment ID: I20240802001668
Provider NameGina N Palladino
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1386376143
PECOS PAC ID: 2264973452
Enrollment ID: I20240915000000
Provider NameJulie Ann Hedger
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1043098452
PECOS PAC ID: 0244765600
Enrollment ID: I20241121001958
Provider NameEmily M Johnson
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1497357024
PECOS PAC ID: 2961937024
Enrollment ID: I20241126001979
Provider NameAmanda Marino
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1639865751
PECOS PAC ID: 4284169129
Enrollment ID: I20241202000533
Provider NameSusan Takacs
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1336315076
PECOS PAC ID: 8224564620
Enrollment ID: I20241209003299

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Theralympic Speech Therapy Pllc is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Theralympic Speech Therapy Pllc
622 Hawkins Ave,
Ronkonkoma, NY 11779-2374

Ph: (631) 240-3579
Theralympic Speech Therapy Pllc
622 Hawkins Ave,
Ronkonkoma, NY 11779-2374

Ph: (631) 240-3579

Reviews and Comments



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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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