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

Q: 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.

Q: What is Kara Phongxaysanith's specialty?

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

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: October 18, 2026.

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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, billing reassignment, and ordering and referring status from CMS.

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

Medicare Billing Reassignment

Medicare enrollment records show Kara Phongxaysanith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cortlyn Therapy, PC

435 mi

Physical Therapist

7300 DEARWESTER DR
Cincinnati, OH 45236

Reassigned Medicare billing, Pennsylvania enrollment
30 clinicians in this Medicare group

NPI 1235725730 (630) 413-5800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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)