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ANNE PRUSAK
NPI 1104642321
Speech-Language Pathologist in Southbury, CT

Active since December 03, 2024Accepts Medicare Assignment
655 MAIN ST S, SOUTHBURY, CT 06488(877) 407-3422(877) 407-4329 Get Directions Write a Review

NPPES record last updated: April 25, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 27, 2024, Dec 3, 2024 (2 updates tracked since 2024).

About Anne Prusak NPPES

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

ANNE PRUSAK (NPI 1104642321) is an individual speech-language pathologist provider in Southbury, Connecticut, licensed in Connecticut (007949) and active in the NPI registry since December 2024. She is a graduate of Other (2023).

NPPES Registry Identity

NPI1104642321
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameANNE PRUSAK
Location Address655 MAIN ST SSouthbury, CT 06488-4220
Mailing Address7 Carnegie PlzCherry Hill, NJ 08003-1000 · (877) 407-3422 · Fax (877) 407-4329
Phone(877) 407-3422
Fax(877) 407-4329
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateDecember 3, 2024
Last NPPES UpdateApril 25, 20252 updates tracked since enumeration
NPPES CertifiedApril 25, 2025
✔ NPI 1104642321 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 CT · 007949
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.
655 MAIN ST S, Southbury, CT 06488
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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

Anne Prusak 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 ID446786875
PECOS Enrollment IDI20241210000204

Medicare Billing Reassignment

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

Fox Rehab Slp Ct LLC
24 mi
Speech-Language Pathologist
44 OLD RIDGEFIELD ROAD, SUITE 213
Wilton, CT 06897
  • Reassigned Medicare billing, Connecticut enrollment
  • 13 clinicians in this Medicare group
NPI 1588918569 (877) 407-3422

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.

CLAIRE WOLFER
Occupational Therapist
655 MAIN ST S
SOUTHBURY, CT 06488
Naugatuck Valley Planning Region (877) 407-3422
MANDY BANISZEWSKI
Physical Therapist
655 MAIN ST S
SOUTHBURY, CT 06488
Naugatuck Valley Planning Region (877) 407-3422
KELLY ALBRECHT
Occupational Therapist
655 MAIN ST S
SOUTHBURY, CT 06488
Naugatuck Valley Planning Region (877) 407-3422
SAIRA AFZAL PHYSICAL THERAPIST
Physical Therapist
655 MAIN ST S
SOUTHBURY, CT 06488
Naugatuck Valley Planning Region (877) 407-3422
NICOLE MARIE DIROBERTO DPT
Physical Therapist
655 MAIN ST S
SOUTHBURY, CT 06488
Naugatuck Valley Planning Region (877) 407-3422
JENNIFER RUIZ DPT
Physical Therapist
655 MAIN ST S
SOUTHBURY, CT 06488
Naugatuck Valley Planning Region (877) 407-3422
CAITLIN FOOTHORAP
Speech-Language Pathologist
655 MAIN ST S
SOUTHBURY, CT 06488
Naugatuck Valley Planning Region (877) 407-3422
MS. ALEXANDRA JEAN WINKELSTERN PT
Physical Therapist
655 MAIN ST S
SOUTHBURY, CT 06488
Naugatuck Valley Planning Region (877) 407-3422

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 Anne Prusak's NPI number?

The NPI number for Anne Prusak is 1104642321. It was assigned to this individual provider in the NPPES registry on December 3, 2024.

Where is Anne Prusak located?

Anne Prusak practices at 655 Main St S, Southbury, CT 06488. The listed phone number is (877) 407-3422.

What is Anne Prusak's specialty?

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

Is Anne Prusak enrolled in Medicare?

Yes. Anne Prusak 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.

Which organization bills Medicare for Anne Prusak's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anne Prusak reassigns Medicare benefits to Fox Rehab Slp Ct LLC (Wilton, CT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Anne Prusak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Anne Prusak was last updated on April 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.