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KARA NOELLE PHONGXAYSANITH CCC-SLP
NPI 1033721618
Speech-Language Pathologist in Willow Street, PA

Active since August 17, 2020Accepts Medicare Assignment
900 WILLOW VALLEY LAKES DR, WILLOW STREET, PA 17584(717) 464-6861(717) 464-8444 Get Directions Write a Review

NPPES record last updated: August 17, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kara Noelle Phongxaysanith Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KARA NOELLE PHONGXAYSANITH CCC-SLP (NPI 1033721618) is an individual speech-language pathologist provider in Willow Street, Pennsylvania, licensed in Pennsylvania (SL007028) and active in the NPI registry since August 2020. She is a graduate of Other (2000).

NPPES Registry Identity

NPI1033721618
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameKARA NOELLE PHONGXAYSANITHCredential: CCC-SLP
Location Address900 WILLOW VALLEY LAKES DRWillow Street, PA 17584-9051
Mailing Address900 Willow Valley Lakes DrWillow Street, PA 17584-9051 · (177) 464-6861 · Fax (717) 464-8444
Phone(717) 464-6861
Fax(717) 464-8444
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateAugust 17, 2020
NPPES CertifiedAugust 17, 2020
✔ NPI 1033721618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in PA · SL007028
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
900 WILLOW VALLEY LAKES DR, Willow Street, PA 17584
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kara Noelle Phongxaysanith Ccc-slp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7113418864
PECOS Enrollment IDI20251111002086

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTINE L TALBERT PT
Physical Therapist (Geriatrics)
900 WILLOW VALLEY LAKES DR
WILLOW STREET, PA 17584
Lancaster County (717) 464-6397
SARAH RUSH
Physical Therapist
900 WILLOW VALLEY LAKES DR
WILLOW STREET, PA 17584
Lancaster County (717) 464-6861
HEATHER L WOLFE
Occupational Therapist
900 WILLOW VALLEY LAKES DR
WILLOW STREET, PA 17584
Lancaster County (717) 464-6861
MRS. JENNIFER NICOLE KNIGHT DPT
Physical Therapist
900 WILLOW VALLEY LAKES DR
WILLOW STREET, PA 17584
Lancaster County (717) 464-6861
JOSEPH DALE KURO MPT
Physical Therapist
900 WILLOW VALLEY LAKES DR
WILLOW STREET, PA 17584
Lancaster County (717) 464-6861
EMILIANO PERALTA DURAN
Physical Therapist
900 WILLOW VALLEY LAKES DR
WILLOW STREET, PA 17584
Lancaster County (717) 464-6861
ROBERT EDWIN MURPHY
Physical Therapist
900 WILLOW VALLEY LAKES DR
WILLOW STREET, PA 17584
Lancaster County (717) 464-6861
PAIGE M PACHUILO MS, OTR/L
Occupational Therapist
900 WILLOW VALLEY LAKES DR
WILLOW STREET, PA 17584
Lancaster County (717) 464-6861

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kara Phongxaysanith's NPI number?

The NPI number for Kara Phongxaysanith is 1033721618. It was assigned to this individual provider in the NPPES registry on August 17, 2020.

Where is Kara Phongxaysanith located?

Kara Phongxaysanith practices at 900 Willow Valley Lakes Dr, Willow Street, PA 17584. The listed phone number is (717) 464-6861.

What is Kara Phongxaysanith's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Kara Phongxaysanith enrolled in Medicare?

Yes. Kara Phongxaysanith is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Kara Phongxaysanith was last updated on August 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.